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General NPI Number Information
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NPI Number | 1841704814
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Entity Type | Organization
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Legal Business Name | CARDON AND ASSOCIATES
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Dates
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Enumeration Date | 11/28/2017
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 601 O AVE
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City | ANACORTES
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State | WA
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Zip | 98221-1753
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Country | US
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Telephone | 360-755-3474
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Fax | 877-241-4344
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Provider Business Mailing Address
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Address Line | PO BOX 1318
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City | ANACORTES
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State | WA
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Zip | 98221-6318
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROVIDER, SOLE MEMBER
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Name | DR. NATHANAEL WARD CARDON
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Credential | DO
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Telephone | 360-755-3474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | OP60248624
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License Number State | WA
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