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General NPI Number Information
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NPI Number | 1598140279
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Entity Type | Organization
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Legal Business Name | LV WELLNESS LLC
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 4490 CHAMBLEE DUNWOODY RD SUITE D
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City | ATLANTA
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State | GA
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Zip | 30338-6237
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Country | US
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Telephone | 770-457-1571
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Fax | 770-504-5442
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Provider Business Mailing Address
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Address Line | PO BOX 944
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-0944
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Country | US
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Telephone | 682-503-9356
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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. SAMANTHA JOCYNTH CLOSETH MARCH
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Credential | DC
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Telephone | 770-457-1571
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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 | 9525
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License Number State | GA
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