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General NPI Number Information
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NPI Number | 1215531694
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Entity Type | Individual
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Provider Name | NATALIE MACCHIA
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Gender | Female
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Dates
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Enumeration Date | 11/25/2020
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 10636 3RD ST N APT K
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City | ST PETERSBURG
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State | FL
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Zip | 33716-3291
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Country | US
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Telephone | 772-475-0815
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Fax |
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Provider Business Mailing Address
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Address Line | 85 NE ELDERBERRY TER
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City | JENSEN BEACH
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State | FL
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Zip | 34957-4655
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Country | US
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Telephone | 772-475-0815
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | RBT-20-141071
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License Number State | FL
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