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General NPI Number Information
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NPI Number | 1558517128
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Entity Type | Individual
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Provider Name | RICHARD J. NADAN MBA, NP
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Gender | Male
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 400 COMMUNITY DR NORTH SHORE - LIJ, INFECTIOUS DISEAS
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City | MANHASSET
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State | NY
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Zip | 11030-3815
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Country | US
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Telephone | 516-562-4280
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Fax | 516-562-2626
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Provider Business Mailing Address
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Address Line | 400 COMMUNITY DRIVE NORTH SHORE - LIJ, INFECTIOUS DISEAS
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City | MANHASSET
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State | NY
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Zip | 11030-3815
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Country | US
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Telephone | 516-562-4280
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Fax | 516-562-2626
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 430088
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License Number State | NY
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