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General NPI Number Information
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NPI Number | 1558903963
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Entity Type | Individual
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Provider Name | JOEL NELSON DC
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Gender | Male
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Dates
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Enumeration Date | 10/17/2019
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 955 BATTLEFIELD PKWY
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City | FORT OGLETHORPE
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State | GA
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Zip | 30742-3945
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Country | US
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Telephone | 716-731-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 8254 BOOTH BAY DR
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City | HIXSON
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State | TN
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Zip | 37343-2084
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Country | US
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Telephone | 716-525-0047
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Fax |
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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 | 013297
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License Number State | NY
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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 | CHIR011047
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License Number State | GA
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