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General NPI Number Information
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NPI Number | 1841356433
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Entity Type | Individual
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Provider Name | NATALIA OLIVA PETERS DPM
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 W 85TH ST SUITE 1C
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City | NEW YORK
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State | NY
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Zip | 10024-4134
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Country | US
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Telephone | 212-874-0564
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Fax | 212-496-8548
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Provider Business Mailing Address
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Address Line | 820 THIERIOT AVENUE 7G
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City | BRONX
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State | NY
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Zip | 10473-2810
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Country | US
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Telephone | 917-701-3883
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Fax | 718-542-0270
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N006033
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License Number State | NY
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