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General NPI Number Information
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NPI Number | 1487371407
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Entity Type | Individual
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Provider Name | STEVEN M NADEL LAT, ATC
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Gender | Male
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 250 KNOTTER DR
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City | CHESHIRE
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State | CT
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Zip | 06410-1137
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Country | US
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Telephone | 203-250-3799
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Fax |
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Provider Business Mailing Address
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Address Line | 65 CHESTNUT HILL RD
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City | EAST HAMPTON
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State | CT
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Zip | 06424-1852
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Country | US
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Telephone | 860-878-9201
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 70.016404
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 54.001699
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License Number State | CT
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