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General NPI Number Information
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NPI Number | 1063058261
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Entity Type | Organization
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Legal Business Name | NATALI EFSTATHIOU LP LLC
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Dates
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Enumeration Date | 11/22/2019
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 3200 W END AVE STE 500
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City | NASHVILLE
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State | TN
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Zip | 37203-1322
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Country | US
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Telephone | 615-200-8269
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Fax |
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Provider Business Mailing Address
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Address Line | 73 WHITE BRIDGE RD STE 103 PMB 183
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City | NASHVILLE
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State | TN
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Zip | 37205-1444
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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 | DOCTOR
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Name | DR. NATALI EFSTATHIOU
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Credential | PH.D
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Telephone | 615-200-8269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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