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General NPI Number Information
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NPI Number | 1700582657
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Entity Type | Individual
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Provider Name | PAUL BERNARD CARON D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 503 AMSTERDAM AVE NE
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City | ATLANTA
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State | GA
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Zip | 30306-3416
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Country | US
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Telephone | 703-843-8051
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Fax |
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Provider Business Mailing Address
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Address Line | 289 GRANT PARK PL SE
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City | ATLANTA
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State | GA
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Zip | 30315-1425
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Country | US
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Telephone | 703-843-8051
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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 | CHIR010831
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License Number State | GA
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