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General NPI Number Information
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NPI Number | 1538524830
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Entity Type | Individual
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Provider Name | NATALIE LYN ULLMAN MD
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Gender | Female
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Dates
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Enumeration Date | 12/31/2015
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 3400 SPRUCE STREET 2 RAVDIN
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4206
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Country | US
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Telephone | 215-662-3606
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Fax | 215-349-5579
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Provider Business Mailing Address
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Address Line | 2102 HARRISBURG PIKE STE 300
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City | LANCASTER
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State | PA
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Zip | 17601-2644
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Country | US
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Telephone | 215-662-3606
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Fax | 215-349-5579
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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 | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 25MA11727500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | MD480699
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD480699
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MA11727500
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License Number State | NJ
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