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General NPI Number Information
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NPI Number | 1447564398
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Entity Type | Individual
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Provider Name | DAVID NATHAN DJEBALI MD
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Gender | Male
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 200 WEST ST 10TH FL, HEALTH CENTER
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City | NEW YORK
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State | NY
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Zip | 10282-2102
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Country | US
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Telephone | 212-357-6339
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Fax |
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Provider Business Mailing Address
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Address Line | 200 WEST ST 10TH FL, HEALTH CENTER
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City | NEW YORK
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State | NY
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Zip | 10282-2102
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 25MA09342200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 263842
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License Number State | NY
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