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General NPI Number Information
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NPI Number | 1104598093
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Entity Type | Individual
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Provider Name | NATALIE LYNN LOMBARDI CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 1885 PORTER LAKE DR
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City | SARASOTA
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State | FL
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Zip | 34240-7893
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Country | US
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Telephone | 855-693-7822
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Fax |
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Provider Business Mailing Address
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Address Line | 11515 CRYSTAL POINTE DR UNIT 102
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City | CHARLOTTE
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State | NC
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Zip | 28215-7833
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Country | US
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Telephone | 317-504-3713
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 13147
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 14302364
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License Number State | NC
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