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General NPI Number Information
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NPI Number | 1518119742
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Entity Type | Organization
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Legal Business Name | INFINITY HEALTHCARE GROUP, PC
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 5635 PEACHTREE PKWY SUITE 250
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City | NORCROSS
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State | GA
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Zip | 30092-2879
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Country | US
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Telephone | 770-662-8937
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Fax | 770-441-3811
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Provider Business Mailing Address
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Address Line | 5635 PEACHTREE PKWY SUITE 250
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City | NORCROSS
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State | GA
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Zip | 30092-2879
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Country | US
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Telephone | 770-662-8937
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Fax | 770-441-3811
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PIERRE D ROUSSE
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Credential | DC
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Telephone | 770-662-8937
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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 | CHIR001624
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License Number State | GA
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