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General NPI Number Information
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NPI Number | 1740256908
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Entity Type | Individual
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Provider Name | MICHAEL NAARENDORP M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | 51 SAINT NICHOLAS AVE APT PH-3F
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City | NEW YORK
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State | NY
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Zip | 10026-3467
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Country | US
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Telephone | 212-360-5752
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Fax | 212-280-0603
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Provider Business Mailing Address
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Address Line | 301 W 118TH ST APT PH-3F
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City | NEW YORK
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State | NY
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Zip | 10026-1049
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Country | US
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Telephone | 212-360-5752
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Fax | 212-280-0603
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 229836
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License Number State | NY
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