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General NPI Number Information
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NPI Number | 1396468849
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Entity Type | Organization
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Legal Business Name | FOOTHILLS CHIROPRACTIC & HOLISTIC WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 5447 POWDER SPRINGS DALLAS RD SW
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-9103
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Country | US
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Telephone | 770-943-6262
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Fax | 678-567-5601
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Provider Business Mailing Address
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Address Line | PO BOX 818
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-0818
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Country | US
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Telephone | 770-943-6262
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Fax | 678-567-5601
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Authorized Official
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Title or Position | CEO
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Name | DR. CYNTHIA M LOMAX
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Credential | DC
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Telephone | 770-943-6262
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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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