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General NPI Number Information
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NPI Number | 1134187073
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Entity Type | Individual
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Provider Name | PATRICK J MADDEN III M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 1921 WALDEMERE ST SUITE 810
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City | SARASOTA
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State | FL
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Zip | 34239-2943
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Country | US
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Telephone | 617-797-0110
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Fax | 941-894-1176
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Provider Business Mailing Address
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Address Line | 19454 RIZZUTO ST
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City | VENICE
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State | FL
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Zip | 34293-4552
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Country | US
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Telephone | 617-797-0110
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Fax | 941-894-1176
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME113116
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License Number State | FL
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