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General NPI Number Information
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NPI Number | 1639556244
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Entity Type | Individual
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Provider Name | NATALIE KILHEENEY L.AC., DIPL. O.M.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 318 TOSCANA BLVD
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City | GRANGER
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State | IN
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Zip | 46530-8041
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Country | US
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Telephone | 574-387-3691
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Fax |
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Provider Business Mailing Address
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Address Line | 223 W. 10TH STREET
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City | MICHIGAN CITY
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State | IN
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Zip | 46360
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Country | US
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Telephone | 574-855-1836
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 84000167A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 198.001253
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License Number State | IL
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