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General NPI Number Information
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NPI Number | 1710332978
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Entity Type | Organization
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Legal Business Name | LOVEJOY CHIROPRACTIC
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 1800 HOG MOUNTAIN RD BUILDING 1000 SUITE 103
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City | WATKINSVILLE
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State | GA
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Zip | 30677-1935
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Country | US
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Telephone | 706-363-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 HOG MOUNTAIN RD BUILDING 1000 SUITE 103
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City | WATKINSVILLE
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State | GA
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Zip | 30677-1935
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPACTIC
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Name | JULIE LOVEJOY
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Credential | D.C.
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Telephone | 706-363-0123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | CHIR009660
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License Number State | GA
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