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NPI 1336458157

NPI 1336458157 : PAXTON FAMILY CHIROPRACTIC, INC. : RINGGOLD, GA

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General NPI Number Information
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    NPI Number           |    1336458157
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    Entity Type          |    Organization 
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    Legal Business Name  |    PAXTON FAMILY CHIROPRACTIC, INC. 
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Dates
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    Enumeration Date     |    09/28/2010
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    Last Update Date     |    09/28/2010
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Provider Practice Location Address
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    Address Line         |    94 HELPFUL PL 
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    City                 |    RINGGOLD
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    State                |    GA
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    Zip                  |    30736
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    Country              |    US
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    Telephone            |    706-935-3338
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    Fax                  |    706-935-3339
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Provider Business Mailing Address
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    Address Line         |    94 HELPFUL PL 
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    City                 |    RINGGOLD
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    State                |    GA
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    Zip                  |    30736
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    Country              |    US
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    Telephone            |    706-935-3338
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    Fax                  |    706-935-3339
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Authorized Official
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    Title or Position    |    OWNER/DOCTOR
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    Name                 |    DR. JOSHUA  PAXTON 
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    Credential           |    D.C.
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    Telephone            |    706-935-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    08675
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    License Number State |    GA
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