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General NPI Number Information
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NPI Number | 1447392840
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Entity Type | Individual
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Provider Name | NISHAD J NADKARNI M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 11/24/2015
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Provider Practice Location Address
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Address Line | 999 OAKMONT PLAZA DR STE 100
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City | WESTMONT
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State | IL
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Zip | 60559-5563
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Country | US
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Telephone | 630-850-2120
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Fax |
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Provider Business Mailing Address
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Address Line | 999 OAKMONT PLAZA DR STE 200
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City | WESTMONT
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State | IL
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Zip | 60559-5563
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Country | US
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Telephone |
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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 | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 036106760
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036106760
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License Number State | IL
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