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General NPI Number Information
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NPI Number | 1790949048
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Entity Type | Organization
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Legal Business Name | TUTEN CHIROPRACTIC CENTER, PC
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 406 S WEST ST
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City | BAINBRIDGE
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State | GA
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Zip | 39819-3918
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Country | US
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Telephone | 229-246-6417
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Fax | 229-246-2041
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Provider Business Mailing Address
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Address Line | PO BOX 933
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City | BAINBRIDGE
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State | GA
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Zip | 39818-0933
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Country | US
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Telephone | 229-246-6417
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Fax | 229-246-2041
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SARAH DODSON
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Credential |
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Telephone | 229-246-6417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | CHIR006256
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License Number State | GA
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