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General NPI Number Information
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NPI Number | 1427566363
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Entity Type | Organization
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Legal Business Name | NET MEDICAL CORP
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 01/12/2018
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Provider Practice Location Address
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Address Line | 1100 SPRING ST SW STE#700
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City | ATLANTA
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State | GA
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Zip | 30309
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Country | US
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Telephone | 678-820-8366
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Fax |
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Provider Business Mailing Address
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Address Line | 1227 ROCKBRIDGE RD STE 208-79
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-3064
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Country | US
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Telephone | 678-820-8366
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NOEL E TIMMONS
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Credential |
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Telephone | 678-820-8366
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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 | GA
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