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NPI 1194809103

NPI 1194809103 : ARTHUR LEE MATTHEWS III DC : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1194809103
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    Entity Type          |    Individual 
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    Provider Name        |    ARTHUR LEE MATTHEWS III DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/25/2006
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    Last Update Date     |    09/13/2019
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Provider Practice Location Address
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    Address Line         |    3155 ROSWELL RD NE STE 140 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30305-1836
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    Country              |    US
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    Telephone            |    678-571-2595
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3046 MOSER WAY STE 32 
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    City                 |    MARIETTA
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    State                |    GA
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    Zip                  |    30060-6340
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    Country              |    US
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    Telephone            |    678-571-2595
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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        |    111NI0013X
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    Taxonomy Name        |    Independent Medical Examiner Chiropractor
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    License Number       |    CHIR008202
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    111NN1001X
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    Taxonomy Name        |    Nutrition Chiropractor
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    License Number       |    CHIR008202
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    111NR0400X
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    Taxonomy Name        |    Rehabilitation Chiropractor
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    License Number       |    CHIR008202
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    License Number State |    GA
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Taxonomy #4
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    Taxonomy Code        |    111NS0005X
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    Taxonomy Name        |    Sports Physician Chiropractor
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    License Number       |    CHIR008202
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    License Number State |    GA
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Taxonomy #5
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    Taxonomy Code        |    111NX0800X
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    Taxonomy Name        |    Orthopedic Chiropractor
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    License Number       |    CHIR008202
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    License Number State |    GA
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Taxonomy #6
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    CHIR008202
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    License Number State |    GA
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