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General NPI Number Information
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NPI Number | 1326163866
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Entity Type | Individual
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Provider Name | CHRISTOPHER RICKY DOWELL D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 10/07/2020
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Provider Practice Location Address
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Address Line | 3600 DEKALB TECHNOLOGY PKWY STE 130
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City | ATLANTA
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State | GA
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Zip | 30340-3619
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Country | US
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Telephone | 470-395-3478
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Fax | 470-545-7854
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Provider Business Mailing Address
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Address Line | 3600 DEKALB TECHNOLOGY PKWY STE 130
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City | ATLANTA
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State | GA
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Zip | 30340-3619
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Country | US
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Telephone | 470-395-3478
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Fax | 470-545-7854
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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 | 006775
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License Number State | GA
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