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General NPI Number Information
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NPI Number | 1619787025
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Entity Type | Organization
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Legal Business Name | HINESVILLE DAY SPA LLC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 951 GA HIGHWAY 196 W STE B
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City | HINESVILLE
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State | GA
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Zip | 31313-4571
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Country | US
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Telephone | 912-570-9898
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Fax | 912-877-4030
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Provider Business Mailing Address
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Address Line | 951 GA HIGHWAY 196 W STE B
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City | HINESVILLE
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State | GA
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Zip | 31313-4571
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Country | US
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Telephone | 912-570-9898
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Fax | 912-877-4030
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Authorized Official
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Title or Position | OWNER / CEO
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Name | MS. SHEELA MARIE EICHHORN
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Credential | LMT
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Telephone | 912-570-9898
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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