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General NPI Number Information
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NPI Number | 1194099747
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Entity Type | Organization
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Legal Business Name | BUTLER CHIROPRACTIC REHAB CENTER, INC
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Dates
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Enumeration Date | 02/29/2012
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 290 CARPENTER DR NE SUITE 100
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-4929
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Country | US
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Telephone | 404-303-7887
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Fax | 404-303-7887
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Provider Business Mailing Address
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Address Line | 290 CARPENTER DR NE SUITE 100
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-4929
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Country | US
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Telephone | 404-303-7887
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Fax | 404-303-7887
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BOBBY EDWARD BUTLER
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Credential | CHIROPRACTOR
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Telephone | 404-303-7887
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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 | CHIR007646
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License Number State | GA
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