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General NPI Number Information
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NPI Number | 1720930340
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Entity Type | Organization
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Legal Business Name | PROLEVEL RECOVERY
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Dates
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Enumeration Date | 02/14/2026
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Last Update Date | 02/14/2026
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Provider Practice Location Address
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Address Line | 220 BANKS XING
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7814
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Country | US
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Telephone | 770-716-9121
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Fax |
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Provider Business Mailing Address
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Address Line | 4221 FAIRGREEN TER NE
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City | MARIETTA
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State | GA
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Zip | 30068-4117
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Country | US
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Telephone | 770-842-8128
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW ADAMS
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Credential |
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Telephone | 770-842-8128
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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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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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