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General NPI Number Information
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NPI Number | 1235778226
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Entity Type | Individual
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Provider Name | LARONDA WARD DC
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Gender | Female
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Dates
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Enumeration Date | 12/23/2019
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Last Update Date | 12/23/2019
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Provider Practice Location Address
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Address Line | 1982 MAIN ST E
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City | SNELLVILLE
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State | GA
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Zip | 30078-6461
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Country | US
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Telephone | 770-979-5125
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Fax | 770-979-5155
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Provider Business Mailing Address
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Address Line | 1937 WHITEHALL FOREST CT SE
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City | ATLANTA
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State | GA
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Zip | 30316-4854
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Country | US
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Telephone | 404-451-7222
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR010308
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License Number State | GA
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