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General NPI Number Information
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NPI Number | 1063389401
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Entity Type | Organization
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Legal Business Name | LARAMIC MEDICAL GROUP, P.A.
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 31 OAK RIDGE BLVD
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-9715
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Country | US
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Telephone | 518-290-7091
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Fax |
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Provider Business Mailing Address
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Address Line | 2858 UNIVERSITY AVE STE 253
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City | MADISON
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State | WI
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Zip | 53705-3644
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Country | US
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Telephone | 518-290-7091
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ZAID FADUL
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Credential | MD
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Telephone | 408-490-6656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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