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General NPI Number Information
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NPI Number | 1184860363
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Entity Type | Individual
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Provider Name | NATALIA ALLISON DVORAK M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/18/2008
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 1600 116TH AVE NE #104
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City | BELLEVUE
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State | WA
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Zip | 98004-3014
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Country | US
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Telephone | 323-857-3871
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 116TH AVE NE #104
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City | BELLEVUE
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State | WA
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Zip | 98004-3014
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Country | US
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Telephone | 323-219-6844
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A106213
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD60269809
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License Number State | WA
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