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General NPI Number Information
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NPI Number | 1003331521
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Entity Type | Organization
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Legal Business Name | ACCELA SPINE AND PAIN, PLLC
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10120 IVEY CHASE LANE APT 617
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City | CHARLOTTE
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State | NC
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Zip | 28277
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Country | US
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Telephone | 814-242-9134
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Fax |
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Provider Business Mailing Address
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Address Line | 10120 IVEY CHASE LN APT 617
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City | CHARLOTTE
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State | NC
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Zip | 28277-3344
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Country | US
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Telephone | 814-242-9134
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/ORGANIZER
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Name | DR. ANIRUDHA P KULKARNI
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Credential | DO
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Telephone | 814-242-9134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | DO39232
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License Number State | SC
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