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General NPI Number Information
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NPI Number | 1578574455
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Entity Type | Organization
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Legal Business Name | CHOICE CHIROPRACTIC AND WELLNESS, INC.
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 500 AMSTERDAM AVE NE STE R
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City | ATLANTA
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State | GA
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Zip | 30306-3470
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Country | US
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Telephone | 678-205-2313
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2548
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City | DULUTH
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State | GA
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Zip | 30096-0044
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Country | US
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Telephone | 678-205-2313
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHA-YI HWANG
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Credential | D.C.
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Telephone | 678-205-2313
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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 | CHIRO07210
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License Number State | GA
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