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General NPI Number Information
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NPI Number | 1487300729
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Entity Type | Individual
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Provider Name | VERNETTE C KOUNTZ DC
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Gender | Female
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 01/11/2025
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Provider Practice Location Address
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Address Line | 3875 AUSTELL RD STE 301
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City | AUSTELL
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State | GA
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Zip | 30106-1153
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Country | US
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Telephone | 404-793-0704
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Fax |
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Provider Business Mailing Address
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Address Line | 2475 COBB PKWY SE # 550
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City | SMYRNA
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State | GA
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Zip | 30080-3000
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Country | US
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Telephone | 404-793-0704
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Fax | 404-760-2505
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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 | CHIR010745
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License Number State | GA
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