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General NPI Number Information
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NPI Number | 1649142100
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Entity Type | Individual
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Provider Name | MR. MICHAEL JEREMY NATAL JR.
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Gender | Male
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 53 MARKET ST
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City | BANGOR
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State | PA
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Zip | 18013-1901
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Country | US
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Telephone | 610-588-9101
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Fax |
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Provider Business Mailing Address
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Address Line | 709 5TH AVE
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City | BETHLEHEM
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State | PA
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Zip | 18018-3637
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Country | US
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Telephone | 484-560-1273
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | PA
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