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General NPI Number Information
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NPI Number | 1700232279
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Entity Type | Individual
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Provider Name | MRS. NATASJA YOLANDA-LUCILLA BRATTINGA
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Gender | Female
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 5225 HIGHLAND RD
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City | WATERFORD
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State | MI
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Zip | 48327-1916
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Country | US
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Telephone | 248-673-6980
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Fax |
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Provider Business Mailing Address
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Address Line | 1127 WHISPERING KNOLL LN
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City | ROCHESTER HILLS
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State | MI
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Zip | 48306-4177
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Country | US
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Telephone | 248-935-1317
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501004438
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License Number State | MI
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