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General NPI Number Information
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NPI Number | 1558778613
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Entity Type | Individual
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Provider Name | DR. MICHAEL NATALE
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Gender | Male
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 20 CONNECTICUT BLVD
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3007
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Country | US
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Telephone | 860-289-4944
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Fax | 860-289-3817
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Provider Business Mailing Address
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Address Line | 649 W MAIN ST
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City | WATERBURY
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State | CT
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Zip | 06702-1082
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PCT.0013076
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License Number State | CT
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