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General NPI Number Information
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NPI Number | 1801128228
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Entity Type | Individual
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Provider Name | DONALD HARRISON TEW D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/10/2010
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 823 N LIBERTY ST
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City | WAYNESBORO
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State | GA
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Zip | 30830-1216
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Country | US
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Telephone | 706-554-1040
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Fax | 706-554-5055
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Provider Business Mailing Address
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Address Line | 823 N LIBERTY ST PO BOX 1513
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City | WAYNESBORO
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State | GA
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Zip | 30830-1216
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Country | US
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Telephone | 706-554-1040
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Fax | 706-554-5055
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CHIR008565
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License Number State | GA
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