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General NPI Number Information
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NPI Number | 1225632557
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Entity Type | Individual
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Provider Name | NATALIA EILEEN ROSADO COFRESI R-DMT, LCAT-LP
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Gender | Female
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Dates
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Enumeration Date | 11/27/2020
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Last Update Date | 01/16/2021
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Provider Practice Location Address
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Address Line | 348 13TH ST STE 203
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City | BROOKLYN
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State | NY
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Zip | 11215-6179
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Country | US
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Telephone | 718-788-2461
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Fax |
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Provider Business Mailing Address
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Address Line | 348 13TH ST STE 203
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City | BROOKLYN
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State | NY
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Zip | 11215-6179
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Country | US
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Telephone | 718-788-2461
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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 | 225600000X
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Taxonomy Name | Dance Therapist
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License Number | R-DMT-2570
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License Number State |
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