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General NPI Number Information
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NPI Number | 1821451667
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Entity Type | Organization
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Legal Business Name | L. NATALIE CARROLL, M.D. P A
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2656 S LOOP W STE 575
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City | HOUSTON
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State | TX
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Zip | 77054-5622
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Country | US
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Telephone | 713-667-3999
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Fax | 713-522-2247
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Provider Business Mailing Address
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Address Line | 2656 S LOOP W SUITE 575
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City | HOUSTON
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State | TX
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Zip | 77054-5622
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Country | US
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Telephone | 713-667-3999
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Fax | 713-522-2247
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. L NATALIE CARROLL
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Credential | M.D. P A
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Telephone | 713-667-3999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | F2586
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License Number State | TX
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