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General NPI Number Information
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NPI Number | 1225768989
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Entity Type | Individual
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Provider Name | NATALIE COLLAZO AUD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 13611 SKINNER RD STE 240
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City | CYPRESS
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State | TX
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Zip | 77429-4691
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Country | US
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Telephone | 281-256-8212
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Fax | 281-783-2303
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Provider Business Mailing Address
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Address Line | 18100 WEST RD APT 1409
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City | HOUSTON
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State | TX
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Zip | 77095-3788
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Country | US
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Telephone | 409-293-6136
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 81141
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License Number State | TX
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