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General NPI Number Information
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NPI Number | 1275721011
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Entity Type | Individual
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Provider Name | NATALIE RENE HAYDON MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 10/05/2007
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Provider Practice Location Address
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Address Line | 11555 HERON BAY BLVD SUITE 308
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-3360
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Country | US
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Telephone | 954-752-6025
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Fax |
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Provider Business Mailing Address
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Address Line | 9749 POST DR
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City | DALLAS
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State | TX
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Zip | 75220-3745
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 112398
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119002905
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | DC
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