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NPI Code Detail

MEDICARE: NATALIE CHRISTINE FOROUZAD

MEDICARE:   NATALIE CHRISTINE FOROUZAD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerP017815NC

General Provider Information

NPI Number : 1720713308
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE CHRISTINE FOROUZAD
Provider Business Mailing Address
First Line : 13506 ROBERT WALKER DR
Second Line :
City : DAVIDSON
State : NC
Zip : 28036-6008
Country : US
Telephone Number : 704-818-8169
Fax Number :
Provider Business Practice Location Address
First Line : 3926 MIRIAM DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-7726
Country : US
Telephone Number : 704-476-1580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2022
Last Update Date : 07/19/2022

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Directions to “ NATALIE CHRISTINE FOROUZAD ” Practice Location

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