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General NPI Number Information
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NPI Number | 1104605781
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Entity Type | Individual
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Provider Name | NATALIE LUX
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Gender | Female
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1474 MAIN ST
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City | SANFORD
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State | ME
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Zip | 04073-2426
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Country | US
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Telephone | 207-363-4321
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Fax |
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Provider Business Mailing Address
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Address Line | 16 ROMA DR
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City | FARMINGTON
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State | CT
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Zip | 06032-2128
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Country | US
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Telephone | 860-670-7484
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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