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General NPI Number Information
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NPI Number | 1063210680
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Entity Type | Individual
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Provider Name | ALLEN DAVID ECKLES D.C
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Gender | Male
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 7000 PEACHTREE DUNWOODY RD BUILDING 14- 100
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City | ATLANTA
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State | GA
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Zip | 30328-6741
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Country | US
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Telephone | 254-998-0803
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Fax |
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Provider Business Mailing Address
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Address Line | 601 CALIBRE BROOKE WAY SE
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City | SMYRNA
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State | GA
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Zip | 30080-2999
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Country | US
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Telephone | 254-998-0803
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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 | CHI011356
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License Number State | GA
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