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General NPI Number Information
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NPI Number | 1265077051
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Entity Type | Organization
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Legal Business Name | STRONG SPINE AND BODY LLC
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Dates
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Enumeration Date | 11/15/2019
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Last Update Date | 02/17/2020
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Provider Practice Location Address
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Address Line | 6425 POWERS FERRY RD STE 175
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City | SANDY SPRINGS
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State | GA
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Zip | 30339-2964
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Country | US
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Telephone | 678-831-5064
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Fax |
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Provider Business Mailing Address
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Address Line | 6425 POWERS FERRY RD STE 175
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City | SANDY SPRINGS
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State | GA
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Zip | 30339-2964
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Country | US
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Telephone | 678-831-5064
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALYSSA KATHERINE DENNIS
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Credential | DC
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Telephone | 703-795-3247
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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 |
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License Number State |
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