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Individual

NATALIE GRACE SPACCARELLI

Active
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Individual

NATALIE GRACE SPACCARELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35135233
OH
207NP0225X
Pediatric Dermatology Physician
35135233
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0328285
OH
01
H675870-OSU
CGS-MEDICARE
OH
01
H675871-NCH
CGS-MEDICARE
OH
Enumeration date
04/24/2013
Last updated
02/15/2022
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