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General NPI Number Information
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NPI Number | 1902820301
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Entity Type | Individual
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Provider Name | FAUSTINO M NALDOZA JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 1323 N A ST
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City | WELLINGTON
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State | KS
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Zip | 67152-4350
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Country | US
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Telephone | 620-326-8171
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Fax | 620-326-2371
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Provider Business Mailing Address
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Address Line | 1323 N A ST
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City | WELLINGTON
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State | KS
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Zip | 67152-4350
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Country | US
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Telephone | 620-326-8171
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Fax | 620-326-2371
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4-15591
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License Number State | KS
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