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General NPI Number Information
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NPI Number | 1043500127
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Entity Type | Organization
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Legal Business Name | DAVID SCOTT MADWAR MD PA
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 1400 GULF SHORE BLVD N SUITE 166
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City | NAPLES
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State | FL
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Zip | 34102-4968
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Country | US
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Telephone | 239-352-5550
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Fax | 239-352-5545
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Provider Business Mailing Address
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Address Line | 1400 GULF SHORE BLVD N SUITE 166
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City | NAPLES
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State | FL
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Zip | 34102-4968
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Country | US
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Telephone | 239-352-5550
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Fax | 239-352-5545
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Authorized Official
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Title or Position | OWNER
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Name | DAVID SCOTT MADWAR
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Credential | MD
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Telephone | 239-352-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME82289
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License Number State | FL
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