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General NPI Number Information
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NPI Number | 1093109274
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Entity Type | Organization
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Legal Business Name | LOTUS CHIROPRACTIC CARE LLC
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1730 MOUNT VERNON RD STE C
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City | DUNWOODY
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State | GA
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Zip | 30338-4245
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Country | US
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Telephone | 470-719-9539
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Fax |
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Provider Business Mailing Address
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Address Line | 2150 BRYANT POINTE DR
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City | MARIETTA
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State | GA
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Zip | 30066-4699
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Country | US
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Telephone | 404-509-5524
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Fax |
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Authorized Official
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Title or Position | PRIMARY
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Name | TANVI DESAI
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Credential | DC
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Telephone | 404-719-9539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | CHIR009447
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License Number State | GA
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