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General NPI Number Information
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NPI Number | 1245237163
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Entity Type | Individual
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Provider Name | CATHERINE A FULTON DC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1315 DELAUNEY AVE STE 100
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City | COLUMBUS
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State | GA
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Zip | 31901-2367
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Country | US
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Telephone | 706-221-2361
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Fax | 706-221-7496
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Provider Business Mailing Address
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Address Line | 434 MARGLO CIR
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City | ELLERSLIE
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State | GA
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Zip | 31807-5508
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Country | US
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Telephone | 706-562-2210
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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 | 6780
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License Number State | GA
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