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General NPI Number Information
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NPI Number | 1124356050
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Entity Type | Organization
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Legal Business Name | SYNERGY SPINE AND JOINT CENTERS, LLC
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Dates
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Enumeration Date | 12/04/2009
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 211 PLEASANT HOME RD SUITE D-1
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City | AUGUSTA
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State | GA
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Zip | 30907-0518
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Country | US
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Telephone | 706-364-3940
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Fax | 706-364-3960
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Provider Business Mailing Address
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Address Line | 211 PLEASANT HOME RD SUITE D-1
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City | AUGUSTA
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State | GA
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Zip | 30907-0518
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Country | US
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Telephone | 706-364-3940
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Fax | 706-364-3960
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Authorized Official
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Title or Position | CEO
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Name | DR. JOHN CHERNI
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Credential | D.C.
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Telephone | 706-364-3940
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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 | 038689
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR007940
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License Number State | GA
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