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NPI 1639464688

NPI 1639464688 : NATALIE ROSE ATKINSON DDS : FRANKFORT, IN

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General NPI Number Information
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    NPI Number           |    1639464688
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    Entity Type          |    Individual 
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    Provider Name        |    NATALIE ROSE ATKINSON DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/16/2011
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    Last Update Date     |    10/11/2017
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Provider Practice Location Address
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    Address Line         |    1433 E WABASH ST 
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    City                 |    FRANKFORT
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    State                |    IN
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    Zip                  |    46041-2742
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    Country              |    US
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    Telephone            |    765-670-6249
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11 S MILL ST STE 200 
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    City                 |    NEW CASTLE
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    State                |    PA
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    Zip                  |    16101-3680
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    Country              |    US
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    Telephone            |    765-670-6295
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    12011661A
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    License Number State |    IN
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