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General NPI Number Information
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NPI Number | 1093461287
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Entity Type | Organization
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Legal Business Name | CNS SPINE P.C.
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 719 W WALNUT ST
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City | HINSDALE
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State | IL
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Zip | 60521-3062
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Country | US
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Telephone | 847-687-3823
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Fax |
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Provider Business Mailing Address
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Address Line | 719 W WALNUT ST
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City | HINSDALE
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State | IL
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Zip | 60521-3062
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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 | BILLING DIRECTOR
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Name | EDINA KOPIC
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Credential |
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Telephone | 312-796-9309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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