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General NPI Number Information
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NPI Number | 1538961321
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Entity Type | Organization
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Legal Business Name | DEEPLY FULFILLING ENTERPRISES LLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1100 CIRCLE 75 PKWY SE STE 930
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City | ATLANTA
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State | GA
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Zip | 30339-3097
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Country | US
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Telephone | 404-620-1774
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 CIRCLE 75 PKWY SE STE 930
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City | ATLANTA
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State | GA
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Zip | 30339-3097
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Country | US
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Telephone | 404-620-1774
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Fax |
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Authorized Official
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Title or Position | OWNER AND PRINCIPAL DOCTOR
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Name | DR. ALLISON JANCIK
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Credential | DC
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Telephone | 404-620-1774
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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 |
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License Number State |
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