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General NPI Number Information
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NPI Number | 1629233549
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Entity Type | Organization
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Legal Business Name | EAST POINT CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 1668 THOMPSON AVE
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City | EAST POINT
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State | GA
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Zip | 30344-3322
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Country | US
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Telephone | 404-765-0595
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Fax | 404-765-9784
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Provider Business Mailing Address
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Address Line | 1668 THOMPSON AVE
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City | EAST POINT
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State | GA
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Zip | 30344-3322
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Country | US
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Telephone | 404-765-0595
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Fax | 404-765-9784
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAEIDEH L SADRI
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Credential | D.C.
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Telephone | 404-765-0595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CHIR005729
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License Number State | GA
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