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General NPI Number Information
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NPI Number | 1710490206
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Entity Type | Organization
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Legal Business Name | NATALIES APOTHECARY INC
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 05/12/2018
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Provider Practice Location Address
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Address Line | 987 S CREASY LN
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City | LAFAYETTE
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State | IN
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Zip | 47905-4800
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Country | US
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Telephone | 765-237-3060
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Fax | 765-250-8586
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Provider Business Mailing Address
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Address Line | 987 S CREASY LN
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City | LAFAYETTE
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State | IN
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Zip | 47905-4800
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Country | US
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Telephone | 765-237-3060
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Fax | 765-250-8586
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATALIE SCHWARTZEL
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Credential |
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Telephone | 765-237-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 60006664A
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License Number State | IN
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