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NPI 1427392562

NPI 1427392562 : NATALIE PLATT DMD : BRADENTON, FL

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General NPI Number Information
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    NPI Number           |    1427392562
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    Entity Type          |    Individual 
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    Provider Name        |    NATALIE PLATT DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/15/2012
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    Last Update Date     |    06/13/2022
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Provider Practice Location Address
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    Address Line         |    4705 26TH ST W 
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    City                 |    BRADENTON
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    State                |    FL
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    Zip                  |    34207-1716
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    Country              |    US
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    Telephone            |    941-899-0067
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13709 SWIFTWATER WAY 
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    City                 |    BRADENTON
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    State                |    FL
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    Zip                  |    34211-4082
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    Country              |    US
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    Telephone            |    305-586-7594
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DN19917
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    License Number State |    FL
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