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General NPI Number Information
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NPI Number | 1386279529
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Entity Type | Organization
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Legal Business Name | GEORGIA CHIRO BILLING & CONSULTING
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Dates
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Enumeration Date | 03/09/2020
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Last Update Date | 03/09/2020
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Provider Practice Location Address
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Address Line | 3790 PLEASANT HILL RD STE 110
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City | DULUTH
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State | GA
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Zip | 30096-5143
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Country | US
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Telephone | 470-210-6778
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Fax |
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Provider Business Mailing Address
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Address Line | 3046 MOSER WAY
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City | MARIETTA
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State | GA
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Zip | 30060-6340
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Country | US
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Telephone | 470-210-6778
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. TAWANDA LANE
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Credential |
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Telephone | 470-210-6778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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