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General NPI Number Information
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NPI Number | 1497029326
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Entity Type | Individual
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Provider Name | NADIA MARIA FADLI NP
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Gender | Female
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Dates
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Enumeration Date | 02/23/2012
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 800 HOWARD AVE LOWER LEVEL
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City | NEW HAVEN
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State | CT
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Zip | 06519-1369
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Country | US
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Telephone | 203-737-2096
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Fax | 203-785-2044
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Provider Business Mailing Address
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Address Line | 333 CEDAR ST TMP 4 YALE UNIVERSITY
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City | NEW HAVEN
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State | CT
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Zip | 06510-3206
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Country | US
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Telephone | 203-737-2096
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Fax | 203-785-2044
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN168130
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 6559
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License Number State | CT
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