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General NPI Number Information
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NPI Number | 1437141199
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Entity Type | Individual
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Provider Name | CHARLES F NARDI M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 8990 NAVARRE PKWY
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City | NAVARRE
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State | FL
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Zip | 32566-2216
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Country | US
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Telephone | 508-396-0108
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Fax | 850-939-4933
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Provider Business Mailing Address
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Address Line | 1005 MAR WALT DR ADMINISTRATION
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6707
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Country | US
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Telephone | 850-863-8131
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Fax | 850-863-4152
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME71880
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License Number State | FL
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