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General NPI Number Information
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NPI Number | 1316498090
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Entity Type | Organization
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Legal Business Name | PEAK PERFORMANCE CHIROPRACTIC
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 5464 PEACHTREE BLVD
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City | ATLANTA
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State | GA
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Zip | 30341-2235
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Country | US
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Telephone | 770-881-8534
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Fax |
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Provider Business Mailing Address
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Address Line | 5464 PEACHTREE BLVD
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City | ATLANTA
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State | GA
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Zip | 30341-2235
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Country | US
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Telephone | 770-881-8534
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD FINN
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Credential | DC
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Telephone | 770-881-8534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2586
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 009470
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 07838
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License Number State | GA
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