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General NPI Number Information
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NPI Number | 1538339791
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Entity Type | Organization
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Legal Business Name | RASNICK FAMILY CHIROPRACTIC INC
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 08/13/2014
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Provider Practice Location Address
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Address Line | 1719 MOUNT VERNON RD SUITE B
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City | ATLANTA
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State | GA
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Zip | 30338-4268
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Country | US
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Telephone | 770-391-2771
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Fax | 770-391-2772
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Provider Business Mailing Address
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Address Line | 1719 MOUNT VERNON RD SUITE B
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City | ATLANTA
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State | GA
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Zip | 30338-4268
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Country | US
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Telephone | 770-391-2771
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Fax | 770-391-2772
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Authorized Official
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Title or Position | OWNER/ DOCTOR
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Name | DR. BENJAMIN HARMON RASNICK
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Credential | DC
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Telephone | 423-765-8977
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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 | 2255
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License Number State | TN
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