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General NPI Number Information
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NPI Number | 1124329453
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Entity Type | Organization
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Legal Business Name | AMANDA TORBORG D.C., LLC
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Dates
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Enumeration Date | 11/03/2010
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Last Update Date | 11/03/2010
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Provider Practice Location Address
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Address Line | 1651 POWDER SPRINGS RD SW SUITE 3
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City | MARIETTA
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State | GA
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Zip | 30064-4847
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Country | US
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Telephone | 770-422-5052
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Fax |
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Provider Business Mailing Address
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Address Line | 1651 POWDER SPRINGS RD SW SUITE 3
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City | MARIETTA
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State | GA
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Zip | 30064-4847
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. AMANDA TORBORG
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Credential | D.C.
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Telephone | 770-422-5052
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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 | CHIR008483
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License Number State | GA
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