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General NPI Number Information
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NPI Number | 1487830253
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Entity Type | Organization
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Legal Business Name | A HEALING PLACE CHIROPRACTIC CENTER INC
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 415 PEACHTREE PKWY #230
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City | CUMMING
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State | GA
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Zip | 30041-7228
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Country | US
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Telephone | 678-947-3316
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Fax | 678-947-3317
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Provider Business Mailing Address
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Address Line | 415 PEACHTREE PKWY #230
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City | CUMMING
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State | GA
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Zip | 30041-7228
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Country | US
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Telephone | 678-947-3316
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Fax | 678-947-3317
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. NOVA ANN GRANDE
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Credential | DC DOCTOR OF CHIROPR
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Telephone | 678-947-3316
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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 | CHIRO08276
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License Number State | GA
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