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General NPI Number Information
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NPI Number | 1457173981
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Entity Type | Individual
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Provider Name | NATALIE MARIE GRILLO
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Gender | Female
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 2114 N FLAMINGO RD # 1261
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-3501
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Country | US
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Telephone | 954-707-8095
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 SW 128TH TER APT E414
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1972
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Country | US
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Telephone | 954-707-8095
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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