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General NPI Number Information
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NPI Number | 1437173200
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Entity Type | Individual
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Provider Name | NATALIE B. MERTEN L.P.T.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 04/23/2010
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Provider Practice Location Address
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Address Line | 622 N. EDGEMOOR ST
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City | WICHITA
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State | KS
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Zip | 67208-1234
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Country | US
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Telephone | 316-686-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 622 N. EDGEMOOR
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City | WICHITA
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State | KS
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Zip | 67208-1234
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Country | US
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Telephone | 316-686-5100
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 11-02950
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License Number State | KS
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