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General NPI Number Information
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NPI Number | 1760163786
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Entity Type | Individual
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Provider Name | NATALIE ELISE HULL OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 2690 NE YACHT AVE
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City | LINCOLN CITY
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State | OR
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Zip | 97367-5161
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Country | US
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Telephone | 541-264-5509
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Fax |
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Provider Business Mailing Address
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Address Line | 112 TALL MEADOWS LN
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City | LAFAYETTE
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State | LA
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Zip | 70506-6362
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Country | US
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Telephone | 256-553-2244
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 320473
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 418834
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License Number State | OR
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