MEDICARE: NATALIA TA'NEI ALLEN

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1528827474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIA TA'NEI ALLEN

Provider Business Mailing Address
First Line	:	3668 LIBERTY DR
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-9387
Country	:	US
Telephone Number	:	703-639-8831
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 EMERALD POND LN
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-6051
Country	:	US
Telephone Number	:	919-629-0373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2024
Last Update Date	:	03/14/2024

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Directions to “ NATALIA TA'NEI ALLEN ” Practice Location

Language	Start Address	Practice Location

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