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General NPI Number Information
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NPI Number | 1184561102
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Entity Type | Organization
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Legal Business Name | THE CHI RHO COLLECTIVE, PC
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 3312 NORTHSIDE DR STE A155
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City | MACON
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State | GA
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Zip | 31210-0471
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Country | US
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Telephone | 478-731-9387
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Fax |
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Provider Business Mailing Address
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Address Line | 102 FORMOSA WALK
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City | MACON
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State | GA
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Zip | 31206-5221
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | BRANDI L PUGH
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Credential | MAT, DC
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Telephone | 478-731-9387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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