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General NPI Number Information
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NPI Number | 1174268924
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Entity Type | Individual
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Provider Name | JESSICA J WELCH DC
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Gender | Female
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 3677 HIGHWAY 5
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-6930
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Country | US
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Telephone | 770-942-9494
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Fax | 770-942-9500
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Provider Business Mailing Address
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Address Line | 3677 HIGHWAY 5
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-6930
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Country | US
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Telephone | 770-942-9494
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Fax | 770-942-9500
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR010293
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License Number State | GA
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