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General NPI Number Information
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NPI Number | 1225207327
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Entity Type | Organization
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Legal Business Name | HEALTH IN CHIROPRACTIC
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 911 BELLEVUE AVE
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City | DUBLIN
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State | GA
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Zip | 31021-4849
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Country | US
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Telephone | 478-275-1338
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Fax | 478-275-1747
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Provider Business Mailing Address
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Address Line | PO BOX 5077
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City | DUBLIN
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State | GA
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Zip | 31040-5077
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Country | US
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Telephone | 478-275-1338
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Fax | 478-275-1747
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. STACEY ASHLEY
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Credential | D.C.
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Telephone | 478-275-1338
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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 | CHIRO07239
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License Number State | GA
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