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General NPI Number Information
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NPI Number | 1750683736
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Entity Type | Organization
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Legal Business Name | ALPHARETTA PROADJUSTER WELLNESS CENTER LLC
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Dates
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Enumeration Date | 11/24/2010
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Last Update Date | 04/07/2015
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Provider Practice Location Address
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Address Line | 1 BALTIMORE PL NW
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City | ATLANTA
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State | GA
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Zip | 30308-2116
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Country | US
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Telephone | 770-630-2882
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Fax | 770-651-8039
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Provider Business Mailing Address
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Address Line | 2947 THISTLEDOWN CT
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City | DECATUR
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State | GA
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Zip | 30034-3442
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Country | US
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Telephone | 770-630-2882
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Fax | 404-458-3457
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Authorized Official
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Title or Position | CEO/CLINIC DIRECTOR
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Name | DR. DR. FAHEEM NASIR
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Credential | D.C.
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Telephone | 770-630-2882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 008057
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 008044
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License Number State | GA
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