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General NPI Number Information
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NPI Number | 1073330627
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Entity Type | Individual
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Provider Name | NATALIE JACKSON REED DPT
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Gender | Female
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Dates
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Enumeration Date | 09/24/2024
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 540 LAKE CENTER PKWY
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City | CUMMING
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State | GA
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Zip | 30040-7727
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Country | US
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Telephone | 770-205-3939
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Fax |
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Provider Business Mailing Address
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Address Line | 3812 WESTSHORE DR
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City | CUMMING
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State | GA
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Zip | 30041-6444
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Country | US
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Telephone | 678-687-7290
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Fax |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | PT017412
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License Number State | GA
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