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General NPI Number Information
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NPI Number | 1225180375
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Entity Type | Individual
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Provider Name | MICHAEL R. NATALINO M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 8715 VILLAGE DR STE#320
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5405
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Country | US
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Telephone | 210-656-3109
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Fax | 210-656-4469
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Provider Business Mailing Address
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Address Line | PO BOX 17156
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City | SAN ANTONIO
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State | TX
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Zip | 78217-0156
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Country | US
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Telephone | 210-656-3109
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Fax | 210-656-4469
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | F2821
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License Number State | TX
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