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General NPI Number Information
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NPI Number | 1821564907
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Entity Type | Organization
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Legal Business Name | NATALIE MACLEAN MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 345 SAXONY RD STE 105
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City | ENCINITAS
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State | CA
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Zip | 92024-2787
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Country | US
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Telephone | 760-753-7374
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Fax | 760-753-0110
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Provider Business Mailing Address
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Address Line | 345 SAXONY RD STE 105
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City | ENCINITAS
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State | CA
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Zip | 92024-2787
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Country | US
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Telephone | 760-753-7374
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Fax | 760-753-0110
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATALIE MACLEAN
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Credential | M.D.
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Telephone | 760-753-7374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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