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General NPI Number Information
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NPI Number | 1427034529
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Entity Type | Individual
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Provider Name | DANNY RADER MD
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Gender | Male
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2120 SARNO RD
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City | MELBOURNE
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State | FL
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Zip | 32935-3084
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Country | US
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Telephone | 321-241-6800
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Fax | 321-241-6890
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Provider Business Mailing Address
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Address Line | PO BOX 1137
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City | MELBOURNE
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State | FL
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Zip | 32902-1137
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Country | US
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Telephone | 321-952-9696
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Fax | 321-794-0967
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 14752
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 14752
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | ME139673
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License Number State | FL
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