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General NPI Number Information
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NPI Number | 1154864775
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Entity Type | Organization
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Legal Business Name | HAMPTON VALLEY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 11/30/2016
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 2881 MONROE HIGHWAY SUITE 701
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City | BOGART
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State | GA
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Zip | 30622
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Country | US
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Telephone | 770-725-2980
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Fax | 866-448-6818
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Provider Business Mailing Address
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Address Line | 2881 MONROE HWY SUITE 701
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City | BOGART
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State | GA
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Zip | 30622-8528
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Country | US
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Telephone | 770-725-2980
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Fax | 186-644-8681
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. JOSEPH MARFISI
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Credential | D.C.
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Telephone | 770-725-2980
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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 | CHIR008291
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License Number State | GA
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