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General NPI Number Information
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NPI Number | 1346764354
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Entity Type | Organization
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Legal Business Name | NELSON L. HADLER, LLC
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 8192 COLLEGE PKWY STE B52
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City | FORT MYERS
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State | FL
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Zip | 33919-5179
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Country | US
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Telephone | 973-713-7951
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Fax |
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Provider Business Mailing Address
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Address Line | 4118 NW 11TH TER
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City | CAPE CORAL
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State | FL
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Zip | 33993-9144
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Country | US
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Telephone | 973-713-7957
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NELSON L HADLER
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Credential | LCSW
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Telephone | 973-713-7957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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