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General NPI Number Information
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NPI Number | 1023882297
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Entity Type | Individual
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Provider Name | RICARDO E ALBINO DIAZ DC
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Gender | Male
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 12/25/2025
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Provider Practice Location Address
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Address Line | 1600 PARKWOOD CIR SE STE 500
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City | ATLANTA
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State | GA
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Zip | 30339-2147
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Country | US
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Telephone | 787-585-9475
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 VIEW DR UNIT 4203
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City | WOODSTOCK
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State | GA
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Zip | 30189-5498
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Country | US
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Telephone | 787-585-9475
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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 | CHIR011076
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License Number State | GA
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