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General NPI Number Information
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NPI Number | 1831126119
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Entity Type | Organization
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Legal Business Name | HERMAN A. NADAL MD PA
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6710 TAFT ST
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City | HOLLYWOOD
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State | FL
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Zip | 33024-3903
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Country | US
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Telephone | 954-985-8299
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Fax | 954-961-0025
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Provider Business Mailing Address
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Address Line | 6710 TAFT ST
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City | HOLLYWOOD
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State | FL
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Zip | 33024-3903
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Country | US
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Telephone | 954-985-8299
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Fax | 954-961-0025
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Authorized Official
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Title or Position | P/VP
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Name | DR. HERMAN A NADAL
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Credential | MD
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Telephone | 954-985-8299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME54206
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License Number State | FL
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