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General NPI Number Information
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NPI Number | 1588801542
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Entity Type | Organization
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Legal Business Name | ROBERT P. TRUAX, JR., DC
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 3340 PEACHTREE RD NE SUITE 1800
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City | ATLANTA
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State | GA
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Zip | 30326-1000
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Country | US
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Telephone | 404-421-2524
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Fax |
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Provider Business Mailing Address
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Address Line | 106 HURT DR SE
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City | SMYRNA
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State | GA
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Zip | 30082-2702
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Country | US
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Telephone | 404-421-2524
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT P. TRUAX JR.
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Credential | DC
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Telephone | 404-421-2524
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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 | 006120
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License Number State | GA
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