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General NPI Number Information
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NPI Number | 1427433143
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Entity Type | Organization
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Legal Business Name | TAYLOR CHIROPRACTIC AND WELLNESS
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 07/23/2015
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Provider Practice Location Address
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Address Line | 3833 ROSWELL RD NE STE 105
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City | ATLANTA
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State | GA
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Zip | 30342-4432
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Country | US
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Telephone | 770-239-6464
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Fax |
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Provider Business Mailing Address
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Address Line | 3833 ROSWELL RD NE STE 105
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City | ATLANTA
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State | GA
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Zip | 30342-4432
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/CO-OWNER
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Name | DR. CLIFF TAYLOR
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Credential | D.C.
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Telephone | 770-239-6464
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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 | CHIR009407
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License Number State | GA
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