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General NPI Number Information
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NPI Number | 1649302647
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Entity Type | Individual
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Provider Name | JOHN S DAHLHAUSER DC
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Gender | Male
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 01/06/2010
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Provider Practice Location Address
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Address Line | 1900 EMERY ST NW SUITE 102
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City | ATLANTA
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State | GA
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Zip | 30318-2570
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Country | US
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Telephone | 404-924-7570
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Fax | 404-835-4462
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Provider Business Mailing Address
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Address Line | 1900 EMERY ST NW SUITE 102
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City | ATLANTA
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State | GA
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Zip | 30318-2570
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Country | US
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Telephone | 404-924-7570
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Fax | 404-835-4462
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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 | CHIRO05302
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License Number State | GA
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