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General NPI Number Information
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NPI Number | 1205258647
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Entity Type | Individual
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Provider Name | NATALIE LIAT ROSENWASSER M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/18/2014
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 4300 ROOSEVELT WAY NE
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City | SEATTLE
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State | WA
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Zip | 98105-4718
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Country | US
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Telephone | 206-987-2835
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Fax |
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Provider Business Mailing Address
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Address Line | 430 E 63RD ST APT 7D
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City | NEW YORK
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State | NY
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Zip | 10065
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Country | US
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Telephone | 914-906-0280
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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 | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number | 60953302
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License Number State | WA
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