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General NPI Number Information
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NPI Number | 1609262948
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Entity Type | Individual
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Provider Name | NATALIE SADIK M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 06/14/2019
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Provider Practice Location Address
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Address Line | 3901 CHRYSLER SERVICE DRIVE SUITE 3A
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City | DETROIT
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State | MI
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Zip | 48201-2167
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Country | US
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Telephone | 313-993-3416
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Fax |
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Provider Business Mailing Address
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Address Line | 2809 TREYBURN LN
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48324-4106
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Country | US
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Telephone | 248-789-8130
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301107749
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License Number State | MI
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