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General NPI Number Information
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NPI Number | 1528084928
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Entity Type | Individual
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Provider Name | RONDA R. CRIDER DC
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Gender | Female
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 05/08/2019
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Provider Practice Location Address
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Address Line | 1755 THE EXCHANGE SUITE 105
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City | ATLANTA
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State | GA
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Zip | 30339-7401
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Country | US
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Telephone | 770-955-8061
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Fax | 770-955-8060
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Provider Business Mailing Address
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Address Line | 1755 THE EXCHANGE SUITE 105
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City | ATLANTA
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State | GA
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Zip | 30339-7401
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Country | US
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Telephone | 770-955-8061
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Fax | 770-955-8060
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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 | 07839
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License Number State | GA
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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 | CHIR007839
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License Number State | GA
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