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General NPI Number Information
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NPI Number | 1235360934
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Entity Type | Individual
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Provider Name | RICARDO DAVID BUDJAK M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 60 MADISON AVE FL 2
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City | NEW YORK
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State | NY
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Zip | 10010-1600
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Country | US
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Telephone | 855-629-0554
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Fax |
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Provider Business Mailing Address
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Address Line | 3911 HEATHER DR
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City | WILMINGTON
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State | DE
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Zip | 19807-2117
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Country | US
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Telephone | 904-553-8784
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD447490
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C1-0025640
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME159548
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0090762
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 319925
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A124923
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License Number State | CA
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