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General NPI Number Information
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NPI Number | 1104546886
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Entity Type | Individual
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Provider Name | NATALIE FRYLING OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/01/2022
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 11 E WALNUT ST
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City | MAGNOLIA
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State | DE
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Zip | 19962-9304
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Country | US
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Telephone | 302-335-5093
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Fax |
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Provider Business Mailing Address
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Address Line | 4218 STEIN HWY
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City | SEAFORD
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State | DE
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Zip | 19973-6788
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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 |
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | U1-0012414
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License Number State | DE
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