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General NPI Number Information
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NPI Number | 1932429735
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Entity Type | Individual
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Provider Name | HELLE SERUP SAPONE DC, MT
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Gender | Female
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 3575 PIEDMONT RD. 15 PIEDMONT CENTER, SUITE 130
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City | ATLANTA
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State | GA
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Zip | 30305
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Country | US
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Telephone | 404-477-1589
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Fax | 404-477-1590
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Provider Business Mailing Address
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Address Line | 4061 COOPERS HILL DR SE
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City | SMYRNA
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State | GA
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Zip | 30080
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Country | US
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Telephone | 678-480-2932
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Fax |
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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 | CHIR008052
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT006068
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License Number State | GA
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