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General NPI Number Information
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NPI Number | 1619986254
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Entity Type | Organization
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Legal Business Name | ANTHONY J. NEARY DC LLC
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 6748 JAMESTOWN DR
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City | ALPHARETTA
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State | GA
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Zip | 30005-3030
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Country | US
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Telephone | 678-992-1920
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Fax | 770-864-9628
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Provider Business Mailing Address
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Address Line | 1263 CROWN TER
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City | MARIETTA
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State | GA
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Zip | 30062-3065
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Country | US
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Telephone | 678-992-1920
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Fax | 770-864-9682
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY J. NEARY
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Credential | D.C.
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Telephone | 678-992-1920
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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 | 005252
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License Number State | GA
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