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General NPI Number Information
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NPI Number | 1861899098
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Entity Type | Individual
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Provider Name | NATALIE SHOEMAKER
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Gender | Female
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Dates
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Enumeration Date | 12/03/2014
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 264 N MAIN ST STE 10
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-1837
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Country | US
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Telephone | 860-775-6447
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Fax |
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Provider Business Mailing Address
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Address Line | 161 BUFFAM RD
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City | PELHAM
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State | MA
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Zip | 01002-9722
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Country | US
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Telephone | 860-280-5509
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number |
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License Number State |
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