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General NPI Number Information
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NPI Number | 1679278535
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Entity Type | Individual
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Provider Name | DR. MARIA CEJA
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Gender | Female
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Dates
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Enumeration Date | 03/31/2023
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 4850 SUGARLOAF PKWY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-2859
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Country | US
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Telephone | 404-474-4161
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Fax |
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Provider Business Mailing Address
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Address Line | 2190 EXECUTIVE DR
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City | DULUTH
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State | GA
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Zip | 30096-8969
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Country | US
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Telephone | 817-212-9881
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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 | CHIR010929
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIRO10929
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License Number State | GA
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