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General NPI Number Information
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NPI Number | 1467781674
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Entity Type | Organization
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Legal Business Name | FRIENDS & FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 12/17/2009
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Last Update Date | 01/18/2010
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Provider Practice Location Address
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Address Line | 2500 SANDY PLAINS RD
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City | MARIETTA
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State | GA
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Zip | 30066-5721
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Country | US
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Telephone | 770-485-0322
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 SANDY PLAINS RD
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City | MARIETTA
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State | GA
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Zip | 30066-5721
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Country | US
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Telephone | 770-485-0322
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DANIEL TEW
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Credential | BS, DC
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Telephone | 770-485-0322
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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 | CHIR008567
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIRO008565
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIRO008574
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License Number State | GA
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