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General NPI Number Information
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NPI Number | 1780473421
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Entity Type | Individual
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Provider Name | RAYMOND NALDI
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Gender | Male
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 2300 S ENDWRIGHT RD
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City | BLOOMINGTON
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State | IN
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Zip | 47403-9222
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Country | US
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Telephone | 812-825-3009
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Fax |
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Provider Business Mailing Address
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Address Line | 5354 W STONEWOOD DR
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City | BLOOMINGTON
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State | IN
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Zip | 47403-8009
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Country | US
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Telephone | 765-661-0174
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 1076972
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License Number State | IN
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