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General NPI Number Information
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NPI Number | 1891895009
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Entity Type | Organization
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Legal Business Name | ADVANCED CHIROPRACTIC, PC
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 2738 CLAIRMONT RD NE
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City | ATLANTA
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State | GA
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Zip | 30329-2713
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Country | US
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Telephone | 404-636-6500
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Fax | 404-636-6072
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Provider Business Mailing Address
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Address Line | 2738 CLAIRMONT RD NE
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City | ATLANTA
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State | GA
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Zip | 30329-2713
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Country | US
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Telephone | 404-636-6500
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Fax | 404-636-6072
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID AYERS BEATTY
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Credential | D.C.
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Telephone | 404-636-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CHIR001561
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License Number State | GA
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