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NPI 1851132518

NPI 1851132518 : KADAN MD CORP : WAKEFIELD, RI

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General NPI Number Information
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    NPI Number           |    1851132518
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    Entity Type          |    Organization 
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    Legal Business Name  |    KADAN MD CORP 
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Dates
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    Enumeration Date     |    06/05/2024
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    Last Update Date     |    06/05/2024
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Provider Practice Location Address
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    Address Line         |    100 KENYON AVE 
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    City                 |    WAKEFIELD
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    State                |    RI
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    Zip                  |    02879-4216
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    Country              |    US
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    Telephone            |    401-782-8000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    25 KEYES CT 
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    City                 |    EAST GREENWICH
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    State                |    RI
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    Zip                  |    02818-1450
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    Country              |    US
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    Telephone            |    401-573-6960
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    Fax                  |    401-424-4531
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ABDULLAH  KADAN 
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    Credential           |    MD
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    Telephone            |    401-573-6960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207QS1201X
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    Taxonomy Name        |    Sleep Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207RC0200X
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    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    
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    License Number State |    
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