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General NPI Number Information
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NPI Number | 1073960431
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Entity Type | Organization
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Legal Business Name | CAHABA PAIN AND SPINE CARE, LLC
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Dates
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Enumeration Date | 05/16/2016
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 2010 PATTON CHAPEL RD SUITE 200
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City | HOOVER
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State | AL
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Zip | 35216-5782
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Country | US
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Telephone | 205-208-9001
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Fax | 205-208-9001
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Provider Business Mailing Address
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Address Line | 2010 PATTON CHAPEL RD STE 200
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City | HOOVER
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State | AL
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Zip | 35216-5784
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Country | US
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Telephone | 205-208-9001
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Fax | 205-208-0031
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Authorized Official
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Title or Position | PHYSICIAN
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Name | RICHARD BRIAN THOMA
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Credential | MD
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Telephone | 205-208-9001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 27941
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License Number State | AL
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