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General NPI Number Information
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NPI Number | 1043977747
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Entity Type | Individual
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Provider Name | REBECCA DUNKIN DC
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Gender | Female
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 23 MAPLE ST
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City | ROSWELL
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State | GA
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Zip | 30075-5014
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Country | US
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Telephone | 404-384-3175
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Fax |
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Provider Business Mailing Address
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Address Line | 4492 QUARTER HORSE DR NE
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City | ROSWELL
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State | GA
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Zip | 30075-3154
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Country | US
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Telephone | 404-384-3175
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | CHIR010527
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR010527
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License Number State | GA
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