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General NPI Number Information
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NPI Number | 1013713486
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Entity Type | Individual
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Provider Name | JIN HO SEO DC
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Gender | Male
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 2800 LAWRENCEVILLE SUWANEE RD
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City | SUWANEE
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State | GA
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Zip | 30024-2531
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Country | US
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Telephone | 678-926-3868
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Fax |
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Provider Business Mailing Address
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Address Line | 1290 OLD PEACHTREE RD APT 5127
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City | DULUTH
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State | GA
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Zip | 30097-5336
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Country | US
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Telephone | 678-544-3221
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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 | CHIR011363
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License Number State | GA
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