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General NPI Number Information
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NPI Number | 1740720374
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Entity Type | Organization
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Legal Business Name | LAMPE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 328 ALEXANDER ST SE SUITE 12
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City | MARIETTA
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State | GA
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Zip | 30060-2092
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Country | US
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Telephone | 678-750-3570
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Fax |
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Provider Business Mailing Address
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Address Line | 328 ALEXANDER ST SE SUITE 12
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City | MARIETTA
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State | GA
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Zip | 30060-2092
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Country | US
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Telephone | 678-750-3570
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Fax |
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Authorized Official
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Title or Position | ORGANIZER
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Name | DR. MATTHEW LAMPE
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Credential | D.C.
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Telephone | 616-402-7843
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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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