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General NPI Number Information
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NPI Number | 1770076515
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Entity Type | Organization
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Legal Business Name | FUTURE ONE CHIROPRACTIC
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Dates
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Enumeration Date | 06/06/2018
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Last Update Date | 08/20/2018
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Provider Practice Location Address
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Address Line | 8326A OFFICE PARK DR.
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City | DOUGLASVILLE
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State | GA
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Zip | 30134
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Country | US
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Telephone | 470-409-4803
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Fax |
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Provider Business Mailing Address
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Address Line | 2603 BRANSON PL SW
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City | MARIETTA
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State | GA
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Zip | 30064-4295
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Country | US
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Telephone | 770-877-0832
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | CAITLIN WALDRIP
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Credential |
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Telephone | 770-877-0832
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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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