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General NPI Number Information
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NPI Number | 1538602974
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Entity Type | Individual
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Provider Name | NATALIE ZISMAN M.S.
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Gender | Female
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Dates
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Enumeration Date | 12/01/2016
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Last Update Date | 12/13/2018
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Provider Practice Location Address
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Address Line | 1608 COTTONWOOD DR APT 20
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City | LOUISVILLE
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State | CO
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Zip | 80027-1581
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Country | US
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Telephone | 561-542-9318
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Fax |
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Provider Business Mailing Address
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Address Line | 5520 N FORK CT
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City | BOULDER
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State | CO
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Zip | 80301-3548
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | PSLP.0000113
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License Number State | CO
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