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General NPI Number Information
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NPI Number | 1336926948
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Entity Type | Individual
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Provider Name | NATHAN KADAN PMHNP
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Gender | Male
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 403 SE 1ST ST
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City | DELRAY BEACH
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State | FL
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Zip | 33483-4540
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Country | US
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Telephone | 561-266-8866
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Fax |
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Provider Business Mailing Address
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Address Line | 334 NE 47TH PL
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064-4104
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Country | US
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Telephone | 954-913-2084
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11028517
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP029479
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License Number State | PA
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