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General NPI Number Information
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NPI Number | 1013622414
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Entity Type | Individual
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Provider Name | SHERONDA RENEE RICHEY DC
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Gender | Female
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Dates
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Enumeration Date | 01/19/2023
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 5771 VETERANS PKWY
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City | COLUMBUS
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State | GA
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Zip | 31904-9091
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Country | US
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Telephone | 706-801-4155
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Fax |
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Provider Business Mailing Address
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Address Line | 7998 CREEK FLOW DR
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City | MIDLAND
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State | GA
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Zip | 31820-7100
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Country | US
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Telephone | 706-341-3879
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR010936
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License Number State | GA
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