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General NPI Number Information
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NPI Number | 1114802733
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Entity Type | Individual
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Provider Name | NATHANIEL PATRICK CARDOSI PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 01/04/2026
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Provider Practice Location Address
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Address Line | 3958 BROWN PARK DR STE D
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City | HILLIARD
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State | OH
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Zip | 43026-1160
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Country | US
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Telephone | 260-483-9081
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Fax |
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Provider Business Mailing Address
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Address Line | 101 CABARRUS AVE E STE 200
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City | CONCORD
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State | NC
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Zip | 28025-3781
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Country | US
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Telephone | 855-743-2247
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.009643RX
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License Number State | OH
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