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General NPI Number Information
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NPI Number | 1366610297
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Entity Type | Individual
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Provider Name | NATALIE NEEDHAM MD
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Gender | Female
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 05/20/2022
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Provider Practice Location Address
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Address Line | 699 CHURCH ST NE STE 300
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City | MARIETTA
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State | GA
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Zip | 30060-1122
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Country | US
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Telephone | 770-422-8700
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Fax | 770-425-7601
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Provider Business Mailing Address
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Address Line | 495 TAYLOR RD
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City | MONTGOMERY
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State | AL
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Zip | 36117-3513
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Country | US
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Telephone | 337-279-9333
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Fax | 334-279-9381
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 31900
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | PENDING
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License Number State | GA
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