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General NPI Number Information
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NPI Number | 1649515289
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Entity Type | Organization
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Legal Business Name | DEES CHIROPRACTIC PC
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Dates
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Enumeration Date | 12/08/2012
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Last Update Date | 12/08/2012
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Provider Practice Location Address
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Address Line | 1150 GRIMES BRIDGE RD SUITE 400
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City | ROSWELL
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State | GA
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Zip | 30075-3988
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Country | US
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Telephone | 404-845-7826
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Fax | 404-855-4076
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Provider Business Mailing Address
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Address Line | 1150 GRIMES BRIDGE RD SUITE 400
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City | ROSWELL
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State | GA
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Zip | 30075-3988
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Country | US
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Telephone | 404-845-7826
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Fax | 404-855-4076
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Authorized Official
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Title or Position | OWNER
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Name | DR. VICTOR L DEES
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Credential | DC
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Telephone | 770-367-1116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 008923
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License Number State | GA
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