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General NPI Number Information
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NPI Number | 1629798079
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Entity Type | Individual
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Provider Name | RICKARRA COLLIER DC
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Gender | Female
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 730 PEACHTREE ST NE STE 570
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City | ATLANTA
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State | GA
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Zip | 30308-1244
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Country | US
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Telephone | 205-587-7518
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Fax |
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Provider Business Mailing Address
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Address Line | 2774 JORDAN LN
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122-2488
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Country | US
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Telephone | 205-587-7518
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CHIR010853
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License Number State | GA
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