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General NPI Number Information
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NPI Number | 1447566682
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTHCARE LLC
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 6690 ROSWELL RD NE STE 510
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-3161
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Country | US
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Telephone | 678-999-8531
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Fax | 404-497-9757
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Provider Business Mailing Address
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Address Line | 6690 ROSWELL RD NE STE 510
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-3161
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Country | US
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Telephone | 678-999-8531
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Fax | 404-497-9757
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MISS TARA FRIX
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Credential | DC
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Telephone | 678-999-8531
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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 | CHIR006988
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License Number State | GA
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