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General NPI Number Information
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NPI Number | 1891963211
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Entity Type | Individual
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Provider Name | TARAJI KEYA MCRAE D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 3502 OLD MILTON PKWY
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City | ALPHARETTA
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State | GA
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Zip | 30005-4458
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Country | US
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Telephone | 678-879-4242
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Fax | 678-879-5411
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Provider Business Mailing Address
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Address Line | 9002 GARDNER DR
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City | ALPHARETTA
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State | GA
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Zip | 30004-2193
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Country | US
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Telephone | 678-478-6324
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Fax | 770-753-9152
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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 | CHIR007895
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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 | 3383
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License Number State | NC
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