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General NPI Number Information
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NPI Number | 1063916229
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Entity Type | Individual
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Provider Name | CASSANDRA L MARCHANT DC
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Gender | Female
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 3221 S CHEROKEE LN STE 1830
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City | WOODSTOCK
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State | GA
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Zip | 30188
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Country | US
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Telephone | 770-376-0632
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 HILLSBOROUGH CHASE NW
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City | KENNESAW
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State | GA
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Zip | 30144-1155
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Country | US
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Telephone | 812-618-7351
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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 | 3601
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License Number State | MA
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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 | 010112
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License Number State | GA
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