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General NPI Number Information
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NPI Number | 1619352440
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Entity Type | Organization
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Legal Business Name | NATALONI PEDIATRICS
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Dates
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Enumeration Date | 07/22/2015
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Last Update Date | 07/22/2015
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Provider Practice Location Address
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Address Line | 701 ROUTE 25A SUITE B3
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City | MOUNT SINAI
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State | NY
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Zip | 11766-2050
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Country | US
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Telephone | 631-476-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 701 ROUTE 25A SUITE B3
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City | MOUNT SINAI
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State | NY
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Zip | 11766-2050
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Country | US
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Telephone | 631-476-7676
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Fax |
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Authorized Official
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Title or Position | DR.
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Name | ROBERTA NATALONI
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Credential | M.D.
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Telephone | 631-476-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 382562
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License Number State | NY
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