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General NPI Number Information
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NPI Number | 1306008966
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Entity Type | Organization
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Legal Business Name | CAROL A. SAMUELS DC PC
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 4840 ROSWELL RD NE SUITE C-100
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City | ATLANTA
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State | GA
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Zip | 30342-2639
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Country | US
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Telephone | 404-843-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 4840 ROSWELL RD NE SUITE C-100
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City | ATLANTA
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State | GA
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Zip | 30342-2639
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Country | US
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Telephone | 404-843-3040
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAROL ANN SAMUELS
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Credential | D.C.
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Telephone | 404-843-3040
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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 | CHIROO2331
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License Number State | GA
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