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General NPI Number Information
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NPI Number | 1982873857
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Entity Type | Organization
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Legal Business Name | ZONE HEALING CENTER-ATLANTA, LLC
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 931 MONROE DR NE SUITE C-206
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City | ATLANTA
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State | GA
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Zip | 30308-1793
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Country | US
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Telephone | 404-587-0871
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Fax |
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Provider Business Mailing Address
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Address Line | 931 MONROE DR NE SUITE C-206
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City | ATLANTA
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State | GA
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Zip | 30308-1793
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. EDWARD HURST PEACOCK
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Credential | D.C.
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Telephone | 404-587-0871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | CHIR008298
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License Number State | GA
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