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General NPI Number Information
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NPI Number | 1013435478
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Entity Type | Organization
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Legal Business Name | RAINBOW CITY CHIROPRACTIC
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 09/13/2019
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Provider Practice Location Address
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Address Line | 3155 ROSWELL RD NE STE 140
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City | ATLANTA
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State | GA
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Zip | 30305-1836
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Country | US
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Telephone | 678-571-2595
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Fax |
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Provider Business Mailing Address
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Address Line | 3046 MOSER WAY
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City | MARIETTA
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State | GA
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Zip | 30060-6340
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Country | US
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Telephone | 678-571-2595
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Fax | 678-668-2492
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARTHUR LEE MATTHEWS III
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Credential | DC
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Telephone | 678-571-2595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | CHIR008202
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number | CHIR008202
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | CHIR008202
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CHIR008202
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | CHIR008202
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR008202
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License Number State | GA
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