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General NPI Number Information
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NPI Number | 1831223700
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Entity Type | Individual
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Provider Name | ALBERT DANIEL ARDAO MD
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Gender | Male
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 292 PEQUOT AVE #40
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City | NEW LONDON
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State | CT
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Zip | 06320
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Country | US
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Telephone | 860-443-8098
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Fax |
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Provider Business Mailing Address
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Address Line | 292 PEQUOT AVE #40
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City | NEW LONDON
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State | CT
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Zip | 06320
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Country | US
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Telephone | 860-443-8098
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 028660
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 165617
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD 067735L
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License Number State | PA
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