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General NPI Number Information
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NPI Number | 1831256171
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Entity Type | Individual
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Provider Name | NATALIE T CEPYNSKY OD
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Gender | Female
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 1275 BUTTERFIELD RD STE 104
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City | WHEATON
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State | IL
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Zip | 60189-8849
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Country | US
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Telephone | 630-665-6560
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Fax | 630-665-8760
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Provider Business Mailing Address
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Address Line | 1231 BUTTERFIELD RD
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City | WHEATON
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State | IL
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Zip | 60189-8809
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Country | US
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Telephone | 630-665-6560
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Fax | 630-665-8760
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046 007880
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License Number State | IL
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