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General NPI Number Information
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NPI Number | 1588180541
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Entity Type | Individual
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Provider Name | NATELLA ZASLAVSKY RN, BSN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 173 CHELSEA STREET
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City | EVERETT
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State | MA
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Zip | 02149
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Country | US
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Telephone | 781-388-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 18330 W PASEO WAY
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City | GOODYEAR
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State | AZ
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Zip | 85338-5276
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN2307212
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 240591
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License Number State | AZ
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