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General NPI Number Information
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NPI Number | 1629294723
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Entity Type | Organization
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Legal Business Name | ALPHA WELLNESS CENTER INC.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1604 CHATTANOOGA RD
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City | DALTON
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State | GA
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Zip | 30720-8380
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Country | US
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Telephone | 706-275-0223
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Fax |
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Provider Business Mailing Address
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Address Line | 1604 CHATTANOOGA RD
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City | DALTON
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State | GA
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Zip | 30720-8380
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Country | US
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Telephone | 706-275-0223
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Fax |
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Authorized Official
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Title or Position | OWER PRESIDENT
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Name | MRS. TERESA LYNN KOHNLE
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Credential |
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Telephone | 706-275-0223
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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 | CHIR001761
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License Number State | GA
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