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General NPI Number Information
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NPI Number | 1568518173
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Entity Type | Individual
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Provider Name | NATALIE KATHLEEN MOORE MD
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 1000 JOHNSON FY RD NE
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City | SANDY SPRINGS
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State | GA
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Zip | 30342-1606
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Country | US
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Telephone | 404-851-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 3495 PIEDMONT RD NE # 10
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City | ATLANTA
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State | GA
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Zip | 30305-1717
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 114082
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License Number State | GA
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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 | N5883
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License Number State | TX
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