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General NPI Number Information
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NPI Number | 1083627897
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Entity Type | Individual
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Provider Name | JOHN JOSEPH NATALE MD
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 01/24/2008
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Provider Practice Location Address
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Address Line | 5140 N CALIFORNIA AVE SUITE 780
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City | CHICAGO
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State | IL
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Zip | 60625-3645
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Country | US
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Telephone | 847-222-1443
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Fax | 847-222-1445
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Provider Business Mailing Address
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Address Line | 31 LAKE ADALYN DRIVE
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City | BARRINGTON
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State | IL
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Zip | 60010
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Country | US
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Telephone | 847-222-1443
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Fax | 847-222-1445
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State | IL
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