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General NPI Number Information
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NPI Number | 1568586824
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Entity Type | Organization
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Legal Business Name | DAVID V. NENNA, MD, PA
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1465 STATE ROUTE 31 S THE CONCOUSE AT BEAVER BROOK
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City | ANNANDALE
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State | NJ
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Zip | 08801-3129
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Country | US
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Telephone | 908-730-7636
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Fax | 908-735-4651
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Provider Business Mailing Address
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Address Line | 1465 STATE ROUTE 31 S THE CONCOUSE AT BEAVER BROOK
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City | ANNANDALE
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State | NJ
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Zip | 08801-3129
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Country | US
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Telephone | 908-730-7636
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Fax | 908-735-4651
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARY C FABER
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Credential |
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Telephone | 908-730-7636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 25MA03538500
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License Number State | NJ
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