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General NPI Number Information
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NPI Number | 1053782243
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Entity Type | Individual
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Provider Name | CYNTHIA SEEBACHER D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 01/03/2017
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Provider Practice Location Address
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Address Line | 2820 LASSITER RD # A SUITE A-150
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City | MARIETTA
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State | GA
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Zip | 30062-8332
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Country | US
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Telephone | 404-838-8985
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Fax | 404-850-8645
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Provider Business Mailing Address
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Address Line | 4401 OLD MABRY RD NE
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City | ROSWELL
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State | GA
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Zip | 30075-1939
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Country | US
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Telephone | 404-838-8985
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Fax | 404-850-8645
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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 | CHIR009590
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License Number State | GA
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