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General NPI Number Information
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NPI Number | 1609334671
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Entity Type | Individual
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Provider Name | JENNA WILLIAMS DC
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Gender | Female
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Dates
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Enumeration Date | 03/07/2019
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 670 N MAIN ST STE 111
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City | ALPHARETTA
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State | GA
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Zip | 30009-2401
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Country | US
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Telephone | 404-780-0681
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Fax |
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Provider Business Mailing Address
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Address Line | 2075 BROOKRIDGE TER
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City | ALPHARETTA
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State | GA
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Zip | 30004-1681
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Country | US
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Telephone | 404-780-0681
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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 | CHIR010160
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License Number State | GA
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