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General NPI Number Information
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NPI Number | 1306143920
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Entity Type | Organization
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Legal Business Name | YOUR TOP LIFE PLLC
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Dates
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Enumeration Date | 02/16/2011
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 4854 FRANKLIN DR
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City | BOULDER
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State | CO
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Zip | 80301-6201
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Country | US
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Telephone | 972-816-1410
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Fax |
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Provider Business Mailing Address
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Address Line | 4854 FRANKLIN DR
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City | BOULDER
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State | CO
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Zip | 80301-6201
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Country | US
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Telephone | 972-816-1410
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NATALIE J ENGELBART
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Credential | D.C., F.A.C.N.B.
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Telephone | 972-816-1410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 7839
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 5409
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License Number State | CO
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