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General NPI Number Information
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NPI Number | 1639690464
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Entity Type | Individual
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Provider Name | ANDREW XAVIER PARADA MD
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Gender | Male
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Dates
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Enumeration Date | 07/01/2017
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 19 DAVIS AVE FL 9
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City | NEPTUNE
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State | NJ
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Zip | 07753-4488
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Country | US
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Telephone | 732-897-3640
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Fax | 732-897-3639
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Provider Business Mailing Address
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Address Line | 200 RETREAT AVE
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City | HARTFORD
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State | CT
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Zip | 06106-3309
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Country | US
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Telephone | 860-545-7062
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 080346
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 080346
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA10879200
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License Number State | NJ
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