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General NPI Number Information
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NPI Number | 1316369358
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Entity Type | Organization
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Legal Business Name | SPHERE, PC
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 01/10/2014
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Provider Practice Location Address
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Address Line | 204 N GLENWOOD AVE
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City | DALTON
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State | GA
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Zip | 30721-3011
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Country | US
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Telephone | 706-278-3558
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Fax | 706-226-8420
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Provider Business Mailing Address
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Address Line | 204 N GLENWOOD AVE
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City | DALTON
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State | GA
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Zip | 30721-3011
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Country | US
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Telephone | 706-278-3558
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Fax | 706-226-8420
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. NOLAN KENT BALL
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Credential | D.C.
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Telephone | 706-278-3558
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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 | CHIRO006290
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License Number State | GA
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