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General NPI Number Information
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NPI Number | 1245957729
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Entity Type | Individual
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Provider Name | NATALIE NICOLE CARLAT LAC
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Gender | Female
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 10613 N HAYDEN RD STE J100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-5683
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Country | US
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Telephone | 602-819-8318
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Fax |
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Provider Business Mailing Address
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Address Line | 27646 N 84TH DR
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City | PEORIA
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State | AZ
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Zip | 85383-3842
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Country | US
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Telephone | 602-819-8318
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 21159
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License Number State | AZ
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