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General NPI Number Information
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NPI Number | 1942519566
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Entity Type | Organization
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Legal Business Name | LIBERTY COUNTY CLINIC OF CHIROPRACTIC
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Dates
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Enumeration Date | 09/30/2010
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 211 E MEMORIAL DR
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City | HINESVILLE
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State | GA
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Zip | 31313-2709
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Country | US
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Telephone | 912-368-0002
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Fax | 912-368-4009
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Provider Business Mailing Address
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Address Line | 211 E MEMORIAL DR
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City | HINESVILLE
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State | GA
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Zip | 31313-2709
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Country | US
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Telephone | 912-368-0002
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Fax | 912-368-4009
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Authorized Official
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Title or Position | PRES
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Name | DR. DAVID L PEER
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Credential | DC
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Telephone | 912-368-4002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | CHIR008717
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License Number State | GA
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