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General NPI Number Information
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NPI Number | 1528384385
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Entity Type | Individual
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Provider Name | KATHERINE SHIELDS BABALIAROS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 5780 PEACHTREE DUNWOODY RD SUITE 195
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City | ATLANTA
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State | GA
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Zip | 30342-1554
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Country | US
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Telephone | 770-751-3600
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Fax | 770-399-2803
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Provider Business Mailing Address
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Address Line | 5780 PEACHTREE DUNWOODY RD SUITE 195
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City | ATLANTA
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State | GA
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Zip | 30342-1554
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Country | US
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Telephone | 770-751-3600
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Fax | 770-399-2803
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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 | 4613
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License Number State | GA
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