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General NPI Number Information
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NPI Number | 1679897110
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Entity Type | Organization
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Legal Business Name | FAMILY CHIROPRACTIC CENTER, INC.
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 03/25/2010
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Provider Practice Location Address
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Address Line | 310 N THORNTON AVE
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City | DALTON
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State | GA
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Zip | 30720-3465
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Country | US
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Telephone | 706-275-0607
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Fax | 706-275-0540
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Provider Business Mailing Address
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Address Line | 310 N THORNTON AVE
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City | DALTON
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State | GA
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Zip | 30720-3465
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Country | US
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Telephone | 706-275-0607
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Fax | 706-275-0540
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN C KNOX
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Credential | DC
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Telephone | 706-275-0607
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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 | 2730
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License Number State | GA
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