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General NPI Number Information
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NPI Number | 1952618779
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Entity Type | Individual
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Provider Name | NATALIE KATHRYN BLISS P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 4157 S HARVARD AVE SUITE 101
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City | TULSA
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State | OK
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Zip | 74135-2631
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Country | US
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Telephone | 918-712-7868
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Fax | 918-392-7878
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Provider Business Mailing Address
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Address Line | 4157 S HARVARD AVE SUITE 101
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City | TULSA
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State | OK
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Zip | 74135-2631
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Country | US
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Telephone | 918-712-7868
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Fax | 918-392-7878
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 4373
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License Number State | OK
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