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General NPI Number Information
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NPI Number | 1225467079
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Entity Type | Organization
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Legal Business Name | SJ & J CHIROPRACTIC LLC
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 11/02/2013
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Provider Practice Location Address
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Address Line | 5820 OLD NATIONAL HWY
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City | COLLEGE PARK
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State | GA
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Zip | 30349-3838
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Country | US
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Telephone | 678-856-5165
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Fax |
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Provider Business Mailing Address
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Address Line | 5820 OLD NATIONAL HWY
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City | COLLEGE PARK
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State | GA
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Zip | 30349-3838
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Country | US
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Telephone | 678-856-5165
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ADJEI MENSAH
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Credential | D.C.
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Telephone | 678-856-5165
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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 | CHIR008956
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License Number State | GA
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