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General NPI Number Information
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NPI Number | 1508449034
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Entity Type | Individual
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Provider Name | JAMES EDSEL CRAFT II DC
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Gender | Male
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 616 FERNCREST DR
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City | SANDERSVILLE
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State | GA
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Zip | 31082-1863
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Country | US
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Telephone | 478-552-1620
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Fax | 478-864-1288
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Provider Business Mailing Address
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Address Line | PO BOX 371
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City | WRIGHTSVILLE
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State | GA
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Zip | 31096-0371
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Country | US
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Telephone | 478-864-3448
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Fax | 478-864-1288
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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 | 269683
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License Number State | KY
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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 | CHIR066503
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License Number State | GA
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