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NPI Code Detail

MEDICARE: DR. NICHOLAS ALFRED NATALE ED.D.

MEDICARE: DR. NICHOLAS ALFRED NATALE ED.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor3452SC

General Provider Information

NPI Number : 1285974253
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS ALFRED NATALE ED.D.
Provider Business Mailing Address
First Line : 101 SALUDA POINTE DR
Second Line : #937
City : LEXINGTON
State : SC
Zip : 29072-7053
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1911 GADSDEN ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-6400
Country : US
Telephone Number : 803-254-9767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2013
Last Update Date : 02/28/2013

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