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General NPI Number Information
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NPI Number | 1043663560
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Entity Type | Organization
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Legal Business Name | THE WELLPATH CENTER P.C.
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 1301 SHILOH RD NW STE 1610
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City | KENNESAW
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State | GA
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Zip | 30144-7168
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Country | US
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Telephone | 770-218-1166
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Fax | 770-218-1006
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Provider Business Mailing Address
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Address Line | 1301 SHILOH RD NW STE 1610
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City | KENNESAW
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State | GA
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Zip | 30144-7168
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Country | US
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Telephone | 770-218-1166
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Fax | 770-218-1006
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHARLES CILINSKI
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Credential | D.C.
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Telephone | 703-915-8789
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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 | CHIR009246
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License Number State | GA
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