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General NPI Number Information
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NPI Number | 1568340669
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Entity Type | Individual
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Provider Name | ELI NADEAU LMSW
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Gender |
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 3635 BELL BLVD STE 203
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City | BAYSIDE
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State | NY
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Zip | 11361-2097
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Country | US
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Telephone | 718-504-9256
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Fax |
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Provider Business Mailing Address
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Address Line | 63 HUNTER PL
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City | CAPE ELIZABETH
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State | ME
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Zip | 04107-1651
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Country | US
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Telephone | 612-219-9429
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33488
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 124799
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | MC24456
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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