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General NPI Number Information
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NPI Number | 1356094049
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Entity Type | Individual
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Provider Name | NATASHA WADE DNP-FNP
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Gender | Female
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 195 PAGE MILL RD STE 103
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City | PALO ALTO
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State | CA
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Zip | 94306-2073
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 195 PAGE MILL RD STE 103
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City | PALO ALTO
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State | CA
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Zip | 94306-2073
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.032166
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | TPAN3077
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10035805
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0101676-C-NP
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95032025
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 81244
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License Number State | NM
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1068116
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License Number State | TX
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