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General NPI Number Information
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NPI Number | 1023522950
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Entity Type | Organization
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Legal Business Name | IN MOTION CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 11/30/2017
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Last Update Date | 11/30/2017
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Provider Practice Location Address
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Address Line | 510 W BELMONT DR
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City | CALHOUN
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State | GA
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Zip | 30701-3018
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Country | US
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Telephone | 706-609-0564
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Fax |
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Provider Business Mailing Address
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Address Line | 510 W BELMONT DR
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City | CALHOUN
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State | GA
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Zip | 30701-3018
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Country | US
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Telephone | 706-609-0564
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/ OWNER
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Name | JAMIE MICHELE FOLDS
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Credential | DC
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Telephone | 706-609-0564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CHIR009838
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License Number State | GA
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