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General NPI Number Information
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NPI Number | 1134600778
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Entity Type | Individual
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Provider Name | NATALIE STANISLAV DPT
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Gender | Female
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 10527 FRY RD BLDG C3-100
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City | CYPRESS
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State | TX
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Zip | 77433-5348
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Country | US
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Telephone | 281-256-8956
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Fax |
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Provider Business Mailing Address
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Address Line | 20934 BRISTOL MEADOW LN
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City | CYPRESS
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State | TX
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Zip | 77433-5322
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Country | US
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Telephone | 972-965-9353
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 1309317
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1309317
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1309317
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License Number State | TX
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