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NPI 1154555290

NPI 1154555290 : DR. NATALIE SUSAN BITTON-PALATIELLO : DIX HILLS, NY

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General NPI Number Information
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    NPI Number           |    1154555290
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    Entity Type          |    Individual 
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    Provider Name        |    DR. NATALIE SUSAN BITTON-PALATIELLO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/04/2009
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    Last Update Date     |    04/23/2015
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Provider Practice Location Address
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    Address Line         |    10 SHOREHAM DR W 
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    City                 |    DIX HILLS
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    State                |    NY
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    Zip                  |    11746-6579
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    Country              |    US
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    Telephone            |    516-330-8760
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10 SHOREHAM DR W 
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    City                 |    DIX HILLS
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    State                |    NY
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    Zip                  |    11746-6579
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    056069
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    License Number State |    NY
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