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General NPI Number Information
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NPI Number | 1134744238
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Entity Type | Individual
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Provider Name | ALEXANDRA MICHELLE MOREIRA MD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2020
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1150 HAMMOND DR
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City | ATLANTA
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State | GA
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Zip | 30328-5334
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Country | US
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Telephone | 678-971-4167
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 HAMMOND DR
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City | ATLANTA
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State | GA
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Zip | 30328-5334
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Country | US
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Telephone | 678-971-4167
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 103496
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 036168056
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License Number State | IL
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