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General NPI Number Information
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NPI Number | 1275562175
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Entity Type | Individual
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Provider Name | KHALED M ABOUHAIF D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 310 GOLD CREEK TRL STE 100
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City | WOODSTOCK
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State | GA
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Zip | 30188-5403
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Country | US
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Telephone | 770-926-9495
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Fax | 770-926-9284
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Provider Business Mailing Address
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Address Line | 919 DUAL HALL CT
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-6970
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Country | US
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Telephone | 770-419-1028
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Fax | 770-419-1447
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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 | 2301007348
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR008019
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License Number State | GA
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