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General NPI Number Information
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NPI Number | 1871964957
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Entity Type | Organization
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Legal Business Name | LEDFORD CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 200 PROFESSIONAL CT SE
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City | CALHOUN
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State | GA
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Zip | 30701-7020
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Country | US
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Telephone | 706-602-9696
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Fax | 706-602-4732
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Provider Business Mailing Address
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Address Line | 200 PROFESSIONAL CT SE
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City | CALHOUN
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State | GA
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Zip | 30701-7020
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Country | US
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Telephone | 706-602-9696
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Fax | 706-602-4732
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. JASON LEDFORD
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Credential | D.C.
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Telephone | 706-602-9696
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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 | CHIR008978
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR006555
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License Number State | GA
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