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General NPI Number Information
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NPI Number | 1497076426
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Entity Type | Organization
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Legal Business Name | JOAM CORP, INC
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Dates
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Enumeration Date | 06/14/2010
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Last Update Date | 06/14/2010
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Provider Practice Location Address
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Address Line | 3098 PIEDMONT RD NE STE 430
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City | ATLANTA
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State | GA
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Zip | 30305-2600
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Country | US
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Telephone | 404-237-7130
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Fax | 770-992-1826
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Provider Business Mailing Address
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Address Line | 3098 PIEDMONT RD NE STE 430
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City | ATLANTA
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State | GA
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Zip | 30305-2600
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Country | US
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Telephone | 404-237-7130
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Fax | 770-992-1826
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOANNE MASCIARELLI
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Credential | DC
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Telephone | 404-477-1589
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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 | CHIR005161
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License Number State | GA
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