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General NPI Number Information
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NPI Number | 1740629914
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Entity Type | Individual
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Provider Name | NATALIE ANNE CARTER DPT
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Gender | Female
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 1047 CENTURY DR
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-3772
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Country | US
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Telephone | 618-307-3434
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Fax | 618-307-3435
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Provider Business Mailing Address
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Address Line | 600 OAKMONT LN STE 600C
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City | WESTMONT
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State | IL
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Zip | 60559-5548
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Country | US
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Telephone | 630-575-1980
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Fax | 630-928-5080
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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 | 2013021014
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8598488-2401
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070.021263
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License Number State | IL
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