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General NPI Number Information
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NPI Number | 1295639532
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Entity Type | Individual
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Provider Name | MICHAEL RARDIN
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Gender | Male
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 901 MORRIS RD
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City | BLUE BELL
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State | PA
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Zip | 19422-1550
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Country | US
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Telephone | 908-291-3770
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 559
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City | GWYNEDD VALLEY
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State | PA
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Zip | 19437-0559
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Country | US
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Telephone | 908-291-3770
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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