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General NPI Number Information
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NPI Number | 1720742851
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Entity Type | Individual
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Provider Name | NATALIA LOUISE KONTUL PA
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Gender | Female
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 2727 W DR MLK BLVD STE 320
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City | TAMPA
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State | FL
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Zip | 33607-6055
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Country | US
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Telephone | 813-877-6748
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Fax | 813-875-0359
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Provider Business Mailing Address
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Address Line | 2995 DREW ST
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City | CLEARWATER
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State | FL
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Zip | 33759-3012
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Country | US
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Telephone | 727-315-7496
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 085.008628
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 085.008628
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9118696
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License Number State | FL
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