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General NPI Number Information
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NPI Number | 1447717616
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Entity Type | Organization
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Legal Business Name | REFRESH CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 425 BUFORD HWY STE 102
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City | SUWANEE
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State | GA
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Zip | 30024-2692
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Country | US
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Telephone | 954-681-2656
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Fax |
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Provider Business Mailing Address
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Address Line | 1686 HOLLOW BROOK CT
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City | SUGAR HILL
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State | GA
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Zip | 30518-2870
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Country | US
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Telephone | 954-681-2656
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/CEO
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Name | DR. REBECCA CAPATA SARLEA
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Credential | DC
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Telephone | 954-681-2656
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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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