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General NPI Number Information
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NPI Number | 1902710940
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Entity Type | Organization
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Legal Business Name | ATLANTA HOMEBIRTH LLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 1780 CENTURY BLVD NE STE A
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City | ATLANTA
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State | GA
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Zip | 30345-3399
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Country | US
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Telephone | 404-474-2770
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Fax | 470-731-7797
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Provider Business Mailing Address
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Address Line | 1780 CENTURY BLVD NE STE A
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City | ATLANTA
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State | GA
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Zip | 30345-3399
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Country | US
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Telephone | 404-474-2770
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Fax | 470-731-7797
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TAMARA TAITT
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Credential |
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Telephone | 917-309-1618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NULL
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