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General NPI Number Information
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NPI Number | 1962067868
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Entity Type | Individual
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Provider Name | DAVID TOONE MSOM, L. AC.
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Gender | Male
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 1836 HIGHWAY 54 W
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4742
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Country | US
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Telephone | 770-783-1883
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Fax |
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Provider Business Mailing Address
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Address Line | 1836 HIGHWAY 54 W
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4742
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Country | US
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Telephone | 770-783-1663
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | GA197
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License Number State | GA
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