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General NPI Number Information
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NPI Number | 1437509288
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Entity Type | Individual
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Provider Name | NATALIE MARIE DUPRE PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 4815 LIBERTY AVE STE 310
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City | PITTSBURGH
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State | PA
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Zip | 15224-2156
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Country | US
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Telephone | 412-578-1116
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Fax |
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Provider Business Mailing Address
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Address Line | 4815 LIBERTY AVE STE 310
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City | PITTSBURGH
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State | PA
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Zip | 15224-2156
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Country | US
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Telephone | 412-578-1116
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | MA058023
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA6562
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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