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General NPI Number Information
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NPI Number | 1679800791
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Entity Type | Organization
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Legal Business Name | CORPORATE HEALTH SERVICES
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 2054 ADAMS OVERLOOK
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City | ATLANTA
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State | GA
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Zip | 30318
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Country | US
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Telephone | 678-701-0180
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Fax |
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Provider Business Mailing Address
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Address Line | 2054 ADAMS OVERLOOK
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City | ATLANTA
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State | GA
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Zip | 30318
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Country | US
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Telephone | 678-701-0180
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER MICHAEL SAXON
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Credential | D.C.
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Telephone | 678-701-0180
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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 | CHIRO06319
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License Number State | GA
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