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General NPI Number Information
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NPI Number | 1386720118
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Entity Type | Organization
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Legal Business Name | ABSOLUTE HEALTHCARE & REHAB CENTER
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1807 HWY 138 SW
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City | RIVERDALE
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State | GA
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Zip | 30296
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Country | US
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Telephone | 770-997-7000
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Fax | 770-996-0497
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Provider Business Mailing Address
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Address Line | 1807 HWY 138 SW
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City | RIVERDALE
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State | GA
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Zip | 30296
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Country | US
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Telephone | 770-997-7000
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Fax | 770-996-0497
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Authorized Official
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Title or Position | CLINIC DIRECTOR OWNER
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Name | ROBERT PAUL HOWARD
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Credential | DC
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Telephone | 678-583-9583
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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 |
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License Number State |
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