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General NPI Number Information
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NPI Number | 1164853271
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Entity Type | Organization
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Legal Business Name | NATALIE H. DANIELS, M.D., PLLC
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Dates
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Enumeration Date | 11/29/2013
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Last Update Date | 11/29/2013
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Provider Practice Location Address
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Address Line | 3594 SPRINGHURST BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40241-4141
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Country | US
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Telephone | 502-368-4133
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Fax |
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Provider Business Mailing Address
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Address Line | 3594 SPRINGHURST BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40241-4141
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Country | US
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Telephone | 502-368-4133
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Fax |
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Authorized Official
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Title or Position | CONSULTANT
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Name | STEVEN RATLIFF
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Credential |
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Telephone | 502-494-2110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 41083
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License Number State | KY
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