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General NPI Number Information
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NPI Number | 1629349451
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Entity Type | Organization
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Legal Business Name | JERRY I. HOCHMAN, CHIRORPACTOR PC
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 4180 PROVIDENCE RD SUITE 113
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City | MARIETTA
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State | GA
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Zip | 30062-6186
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Country | US
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Telephone | 770-565-1212
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Fax | 770-565-2953
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Provider Business Mailing Address
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Address Line | 4180 PROVIDENCE RD SUITE 113
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City | MARIETTA
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State | GA
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Zip | 30062-6186
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Country | US
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Telephone | 770-565-1212
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Fax | 770-565-2953
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JERRY IRWIN HOCHMAN
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Credential | D.C.
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Telephone | 770-565-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | CHIR002037
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License Number State | GA
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