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General NPI Number Information
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NPI Number | 1962392225
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Entity Type | Organization
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Legal Business Name | THRIVE HEALTH COLLECTIVE, LLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 49 HOSIERY MILL RD STE 113
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City | DALLAS
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State | GA
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Zip | 30157-1688
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Country | US
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Telephone | 785-766-0729
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Fax |
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Provider Business Mailing Address
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Address Line | 2365 WORTHINGTON DR
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-3396
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Country | US
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Telephone | 785-766-0729
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/ OWNER
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Name | DR. MYAH LONG
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Credential | DC
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Telephone | 785-766-0729
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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 |
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License Number State |
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