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General NPI Number Information
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NPI Number | 1134045867
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL & CHIROPRACTIC LLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 1720 OLD SPRING HOUSE LN STE 300B
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City | ATLANTA
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State | GA
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Zip | 30338-6215
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Country | US
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Telephone | 470-499-2384
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Fax |
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Provider Business Mailing Address
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Address Line | 5975 SHILOH RD STE 114
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City | ALPHARETTA
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State | GA
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Zip | 30005-1751
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Country | US
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Telephone | 770-789-8796
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER/OWNER
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Name | VOLESTA AUTRY
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Credential |
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Telephone | 770-789-8796
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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 |
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License Number State |
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