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General NPI Number Information
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NPI Number | 1912946658
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Entity Type | Individual
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Provider Name | DAVID KADMON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 05/27/2020
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Provider Practice Location Address
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Address Line | 132 OLD RIVER RD SUITE B-2
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City | LINCOLN
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State | RI
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Zip | 02865-1161
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Country | US
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Telephone | 401-333-2784
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9244
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City | PROVIDENCE
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State | RI
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Zip | 02940-9244
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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 |
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD09598
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD109667
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License Number State | RI
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