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General NPI Number Information
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NPI Number | 1316082480
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Entity Type | Organization
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Legal Business Name | BC HEALTH LLC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5949 BUFORD HWY STE 106
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City | NORCROSS
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State | GA
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Zip | 30071-2439
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Country | US
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Telephone | 678-646-0401
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Fax | 678-966-9300
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Provider Business Mailing Address
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Address Line | 5949 BUFORD HWY STE 106
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City | NORCROSS
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State | GA
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Zip | 30071-2439
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Country | US
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Telephone | 678-646-0401
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Fax | 678-966-9300
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Authorized Official
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Title or Position | MANAGER
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Name | DR. CHRISTOPHER A HOGAN
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Credential | DC
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Telephone | 678-646-0401
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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 | 007478
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License Number State | GA
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