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General NPI Number Information
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NPI Number | 1093129173
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Entity Type | Individual
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Provider Name | RAYLENE FRANCES NATWICK M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 3592 W 9000 S STE 210
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City | WEST JORDAN
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State | UT
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Zip | 84088
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Country | US
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Telephone | 801-208-1050
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Fax | 801-208-6376
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Provider Business Mailing Address
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Address Line | PO BOX 800022
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City | KANSAS CITY
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State | MO
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Zip | 64180-0022
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Country | US
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Telephone | 800-953-0104
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301105559
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 11222369-1205
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License Number State | UT
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