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General NPI Number Information
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NPI Number | 1154549491
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Entity Type | Individual
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Provider Name | JAMES PATRICK KING CHIROPRACTOR
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Gender | Male
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5172 MCGINNIS FERRY RD
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City | ALPHARETTA
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State | GA
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Zip | 30005-1792
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Country | US
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Telephone | 678-624-0000
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Fax | 678-624-0002
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Provider Business Mailing Address
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Address Line | 1392 MERRIFIELD LN
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City | MARIETTA
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State | GA
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Zip | 30062-2071
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Country | US
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Telephone | 770-633-7590
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 006177
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License Number State | GA
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