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General NPI Number Information
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NPI Number | 1144821943
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Entity Type | Organization
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Legal Business Name | HEALTHWISE CHIROPRACTIC
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 2000 POWERS FERRY RD SE
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City | MARIETTA
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State | GA
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Zip | 30067-9476
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Country | US
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Telephone | 770-802-9687
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 POWERS FERRY RD SE
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City | MARIETTA
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State | GA
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Zip | 30067-9476
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Country | US
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Telephone | 770-802-9687
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | MRS. LINDA S PALMA
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Credential |
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Telephone | 856-625-0826
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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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