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General NPI Number Information
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NPI Number | 1346366523
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Entity Type | Individual
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Provider Name | NATALIE SQUIRES MESNIER
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5050 NE HOYT ST STE 626
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City | PORTLAND
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State | OR
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Zip | 97213-2956
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Country | US
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Telephone | 503-231-1426
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Fax | 503-231-0316
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Provider Business Mailing Address
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Address Line | 5050 NE HOYT ST STE 626
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City | PORTLAND
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State | OR
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Zip | 97213-2956
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Country | US
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Telephone | 503-231-1426
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Fax | 503-231-0316
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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 | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | MD00048044
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | D0064880
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | MD29433
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License Number State | OR
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