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General NPI Number Information
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NPI Number | 1306989918
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Entity Type | Individual
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Provider Name | ALLEN KEMP ARNOLD JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5015 FLOYD RD SW SUITE 720
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City | MABLETON
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State | GA
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Zip | 30126-1673
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Country | US
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Telephone | 770-941-1454
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Fax | 770-819-8004
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Provider Business Mailing Address
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Address Line | 651 BENSON HURST DR SW
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City | MABLETON
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State | GA
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Zip | 30126-1409
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Country | US
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Telephone | 770-944-8454
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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 | CHIR000976
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License Number State | GA
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