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General NPI Number Information
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NPI Number | 1912751942
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Entity Type | Individual
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Provider Name | NATALIE MARGARET HAIN FNP
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Gender | Female
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Dates
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Enumeration Date | 04/16/2024
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 1850 E WEST CONNECTOR
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City | AUSTELL
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State | GA
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Zip | 30106-1246
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Country | US
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Telephone | 770-988-5824
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Fax | 770-926-4377
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Provider Business Mailing Address
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Address Line | 907 SHAFTOE ST NW
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City | KENNESAW
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State | GA
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Zip | 30152-6999
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Country | US
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Telephone | 678-982-3256
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN250276
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License Number State | GA
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