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General NPI Number Information
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NPI Number | 1063682870
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Entity Type | Organization
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Legal Business Name | DR. SHELIA T. PAYTON PC
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 857 COLLIER RD NW STE 6
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City | ATLANTA
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State | GA
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Zip | 30318-2544
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Country | US
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Telephone | 404-313-5968
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Fax |
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Provider Business Mailing Address
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Address Line | 1188 RAYS RD
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-1724
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Country | US
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Telephone | 404-313-5968
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SHELIA TAJUAN PAYTON
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Credential | BS., DC
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Telephone | 404-313-5968
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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 | CHIR007660
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License Number State | GA
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