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General NPI Number Information
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NPI Number | 1336508100
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Entity Type | Organization
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Legal Business Name | NATUS PELOTON INC.
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Dates
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Enumeration Date | 02/22/2016
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Last Update Date | 05/15/2019
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Provider Practice Location Address
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Address Line | 12301 LAKE UNDERHILL RD STE 110
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City | ORLANDO
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State | FL
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Zip | 32828-4509
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Country | US
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Telephone | 949-713-3998
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Fax | 949-713-2931
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Provider Business Mailing Address
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Address Line | PO BOX 3606
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City | CAROL STREAM
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State | IL
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Zip | 60132-3606
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Country | US
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Telephone | 949-713-3998
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Fax | 949-713-2931
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Authorized Official
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Title or Position | MANAGING EMPLOYEE
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Name | PATRICIA SHAPPELL
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Credential |
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Telephone | 949-713-3998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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