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General NPI Number Information
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NPI Number | 1700484094
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Entity Type | Organization
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Legal Business Name | BELTWAY ORTHODONTICS
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 857 COLLIER RD NW STE 5A-5B
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City | ATLANTA
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State | GA
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Zip | 30318-2532
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Country | US
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Telephone | 404-689-4140
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Fax |
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Provider Business Mailing Address
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Address Line | 857 COLLIER RD NW STE 5A-5B
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City | ATLANTA
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State | GA
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Zip | 30318-2532
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Country | US
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Telephone | 404-689-4140
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. COREY B. MOODY
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Credential | DDS
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Telephone | 404-642-6630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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