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General NPI Number Information
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NPI Number | 1902043037
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Entity Type | Individual
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Provider Name | NATASHA F. NELSON LPTA
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Gender | Female
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 1000 W STONE ST
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-5653
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Country | US
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Telephone | 479-444-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 345 S GOVERNMENT AVE
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-5806
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Country | US
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Telephone | 479-409-5365
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA 1890
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License Number State | AR
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