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General NPI Number Information
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NPI Number | 1710353677
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Entity Type | Organization
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Legal Business Name | DISCOVER HEALTH CHIROPRACTIC,LLC
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Dates
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Enumeration Date | 08/14/2015
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 8097 ROSWELL RD BUILDING D, SUITE 101
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-6159
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Country | US
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Telephone | 678-395-4603
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Fax |
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Provider Business Mailing Address
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Address Line | 8097 ROSWELL RD BUILDING D, SUITE 101
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-6159
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Country | US
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Telephone | 678-395-4603
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | KADRIA GRIFFITHS
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Credential |
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Telephone | 678-395-4603
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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 | CHIR009558
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License Number State | GA
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