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General NPI Number Information
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NPI Number | 1932396272
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Entity Type | Organization
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Legal Business Name | HEALING HANDS CHIROPRACTIC
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 961 N COLUMBIA ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2728
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Country | US
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Telephone | 478-452-6162
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Fax | 478-452-9678
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Provider Business Mailing Address
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Address Line | 961 N COLUMBIA ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2728
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Country | US
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Telephone | 478-452-6162
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Fax | 478-452-9678
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES NOLAN STEPHENS
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Credential | D.C.
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Telephone | 478-452-6162
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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 | 4889
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License Number State | GA
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