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General NPI Number Information
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NPI Number | 1962869008
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Entity Type | Individual
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Provider Name | NATALIE JEANE BARTELL FNP
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Gender | Female
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 11495 OK-51
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City | COWETA
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State | OK
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Zip | 74429
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Country | US
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Telephone | 918-727-2820
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Fax | 833-673-0318
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Provider Business Mailing Address
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Address Line | 11495 OK 51
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City | COWETA
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State | OK
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Zip | 74429
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Country | US
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Telephone | 918-727-2820
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Fax | 833-673-0318
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP-1681A
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License Number State | ID
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