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General NPI Number Information
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NPI Number | 1669348793
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Entity Type | Organization
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Legal Business Name | NEW CHIROPRACTIC LLC DBA SPINE CHIROPRACTIC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 7380 SPOUT SPRINGS RD STE 140
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City | FLOWERY BRANCH
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State | GA
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Zip | 30542-7535
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Country | US
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Telephone | 770-954-7244
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Fax | 470-822-1520
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Provider Business Mailing Address
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Address Line | 2679 BRIDLE RIDGE WAY
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City | BUFORD
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State | GA
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Zip | 30519-7676
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | PRANAV HALVAWALA
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Credential | DC
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Telephone | 770-954-7244
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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 |
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License Number State |
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