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General NPI Number Information
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NPI Number | 1447060181
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Entity Type | Individual
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Provider Name | LINSEY JO GRANT DC
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 260 CORPORATE CENTER DR STE E
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7215
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Country | US
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Telephone | 404-857-0173
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Fax |
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Provider Business Mailing Address
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Address Line | 476 WILMER ST NE UNIT 1326
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City | ATLANTA
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State | GA
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Zip | 30308-2950
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Country | US
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Telephone | 270-634-8217
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CHIR011332
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License Number State | GA
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