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General NPI Number Information
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NPI Number | 1285652230
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Entity Type | Individual
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Provider Name | DAVID NARDI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 208 WHITE HORSE PIKE STE 3
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City | BARRINGTON
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State | NJ
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Zip | 08007-1322
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Country | US
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Telephone | 856-617-0933
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Fax | 865-617-0179
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Provider Business Mailing Address
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Address Line | 274 FREEDOM WAY SUITE 3
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City | BARRINGTON
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State | NJ
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Zip | 08007
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Country | US
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Telephone | 856-617-0933
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Fax | 856-617-0179
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA05070600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number | 25MA05070600
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License Number State | NJ
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