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General NPI Number Information
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NPI Number | 1699958181
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Entity Type | Organization
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Legal Business Name | A&W FAMILY CHIROPRACTIC, INC
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 3894 DUE WEST RD NW SUITE 210
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City | MARIETTA
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State | GA
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Zip | 30064-1071
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Country | US
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Telephone | 678-285-1100
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Fax | 678-285-1102
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Provider Business Mailing Address
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Address Line | 3894 DUE WEST RD NW SUITE 210
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City | MARIETTA
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State | GA
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Zip | 30064-1071
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Country | US
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Telephone | 678-285-1100
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Fax | 678-285-1102
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Authorized Official
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Title or Position | OWNER
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Name | MITCHELL SHEA ARNOLD
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Credential | D.C.
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Telephone | 678-285-1100
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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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