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General NPI Number Information
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NPI Number | 1649488115
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Entity Type | Organization
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Legal Business Name | CARREN FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/02/2007
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Provider Practice Location Address
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Address Line | 1680 MULKEY RD SUITE G
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City | AUSTELL
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State | GA
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Zip | 30106-1118
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Country | US
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Telephone | 770-801-1844
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Fax | 770-948-8144
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Provider Business Mailing Address
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Address Line | 1680 MULKEY RD SUITE G
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City | AUSTELL
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State | GA
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Zip | 30106-1118
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Country | US
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Telephone | 770-801-1844
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Fax | 770-948-8144
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES CARREN
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Credential | D.C.
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Telephone | 770-801-1844
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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 | 006870
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License Number State | GA
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