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General NPI Number Information
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NPI Number | 1144488693
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Entity Type | Organization
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Legal Business Name | DISCOVER CHIROPRACTIC INC.
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 3940 CHEROKEE ST NW SUITE 402
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City | KENNESAW
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State | GA
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Zip | 30144-6421
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Country | US
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Telephone | 770-423-9010
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Fax | 770-423-9767
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Provider Business Mailing Address
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Address Line | 3940 CHEROKEE ST NW SUITE 402
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City | KENNESAW
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State | GA
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Zip | 30144-6421
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Country | US
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Telephone | 770-423-9010
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Fax | 770-423-9767
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Authorized Official
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Title or Position | OWNER/VICE PRESIDENT
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Name | DR. ANGELO F FERRARI
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Credential | D.C.
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Telephone | 770-423-9010
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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 | 5896
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License Number State | GA
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