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General NPI Number Information
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NPI Number | 1104734953
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Entity Type | Individual
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Provider Name | DAVID ANDREW MCNAUGHT
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Gender | Male
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 2040 MILLBURN AVE
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-3726
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Country | US
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Telephone | 862-800-6080
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Fax |
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Provider Business Mailing Address
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Address Line | 454 GREENBROOK RD
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City | NORTH PLAINFIELD
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State | NJ
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Zip | 07063-1706
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Country | US
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Telephone | 908-217-1144
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA02443500
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License Number State | NJ
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