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General NPI Number Information
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NPI Number | 1376420984
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Entity Type | Individual
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Provider Name | ALBERTA NATTELL COWAN CRT
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Gender | Female
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | THE ENCLAVE REHAB 1000 HIGH STREET
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City | PORTCHESTER
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State | NY
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Zip | 10573
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Country | US
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Telephone | 410-271-2825
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Fax |
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Provider Business Mailing Address
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Address Line | 30 PARK AVE APT APT.6H
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City | MOUNT VERNON
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State | NY
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Zip | 10550
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Country | US
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Telephone | 347-266-8944
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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 | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | 001101
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License Number State | NY
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