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NPI 1932328465

NPI 1932328465 : NATALEE AIELLO : MILWAUKEE, WI

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General NPI Number Information
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    NPI Number           |    1932328465
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    Entity Type          |    Individual 
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    Provider Name        |    NATALEE AIELLO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/24/2007
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    Last Update Date     |    04/08/2014
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Provider Practice Location Address
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    Address Line         |    912 N HAWLEY RD 
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    City                 |    MILWAUKEE
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    State                |    WI
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    Zip                  |    53213-3222
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    Country              |    US
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    Telephone            |    414-615-0160
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5055 N BERKELEY BLVD 
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    City                 |    WHITEFISH BAY
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    State                |    WI
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    Zip                  |    53217-5502
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    Country              |    US
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    Telephone            |    
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    56004232
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    License Number State |    IL
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