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General NPI Number Information
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NPI Number | 1124454343
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Entity Type | Organization
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Legal Business Name | VENTI CHIROPRACTIC AND SPORTS HEALTH
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Dates
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Enumeration Date | 09/19/2013
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Last Update Date | 09/19/2013
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Provider Practice Location Address
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Address Line | 1100 HAMMOND DR SUITE 220
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City | ATLANTA
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State | GA
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Zip | 30328-8198
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Country | US
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Telephone | 770-698-2552
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Fax | 770-698-2553
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Provider Business Mailing Address
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Address Line | 1100 HAMMOND DR SUITE 220
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City | ATLANTA
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State | GA
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Zip | 30328-8198
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Country | US
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Telephone | 770-698-2552
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Fax | 770-698-2553
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN RUBEN VENTIMIGLIA
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Credential | D.C.
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Telephone | 770-698-2552
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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 | CHIR007909
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License Number State | GA
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