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NPI 1801526454

NPI 1801526454 : NATALIE PAUL PRIVATE PRACTICE, PLLC : VANCOUVER, WA

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General NPI Number Information
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    NPI Number           |    1801526454
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    Entity Type          |    Organization 
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    Legal Business Name  |    NATALIE PAUL PRIVATE PRACTICE, PLLC 
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Dates
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    Enumeration Date     |    06/15/2022
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    Last Update Date     |    09/24/2023
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Provider Practice Location Address
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    Address Line         |    5501 NE 109TH CT STE N 
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98662-6174
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    Country              |    US
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    Telephone            |    971-225-6970
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    Fax                  |    833-464-3458
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Provider Business Mailing Address
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    Address Line         |    5501 NE 109TH CT STE N 
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98662-6174
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    Country              |    US
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    Telephone            |    971-225-6970
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    Fax                  |    833-464-3458
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Authorized Official
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    Title or Position    |    NURSE PRACTITIONER
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    Name                 |     NATALIE  PAUL 
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    Credential           |    ARNP
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    Telephone            |    971-225-6970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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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        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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