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General NPI Number Information
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NPI Number | 1285264069
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Entity Type | Individual
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Provider Name | SHONA NADINE FORRESTER D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 2260 MARIETTA BLVD NW STE 108
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City | ATLANTA
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State | GA
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Zip | 30318-2020
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Country | US
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Telephone | 678-270-2676
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 BROWNSTONE DR
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City | MARIETTA
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State | GA
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Zip | 30008-3226
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Country | US
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Telephone | 678-548-9925
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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 | CHIR010280
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License Number State | GA
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