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General NPI Number Information
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NPI Number | 1669096988
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Entity Type | Individual
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Provider Name | NATALIE KRETSCH PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2020
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 1500 W 38TH ST STE 44
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City | AUSTIN
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State | TX
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Zip | 78731-6319
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Country | US
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Telephone | 786-230-9387
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Fax |
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Provider Business Mailing Address
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Address Line | 1748 OHLEN RD APT 87
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City | AUSTIN
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State | TX
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Zip | 78757-7865
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Country | US
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Telephone | 786-230-9387
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY9938
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 38607
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License Number State | TX
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