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General NPI Number Information
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NPI Number | 1063378453
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Entity Type | Individual
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Provider Name | MS. NATALIE ANNE MCLAIN
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Gender | Female
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 7565 HEATHER KNOLL LN
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City | VERONA
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State | WI
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Zip | 53593-8125
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Country | US
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Telephone | 608-419-0056
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Fax |
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Provider Business Mailing Address
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Address Line | 7565 HEATHER KNOLL LN
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City | VERONA
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State | WI
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Zip | 53593-8125
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Country | US
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Telephone | 608-419-0056
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86416525
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License Number State |
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