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General NPI Number Information
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NPI Number | 1245474550
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Entity Type | Organization
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Legal Business Name | ATLANTA PAIN AND SPINE PHYSICIANS, LLC
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Dates
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Enumeration Date | 04/30/2009
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 3200 HIGHLANDS PKWY SE SUITE 420
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City | SMYRNA
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State | GA
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Zip | 30082-5166
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Country | US
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Telephone | 770-436-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 HIGHLANDS PKWY SE SUITE 420
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City | SMYRNA
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State | GA
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Zip | 30082-5166
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Country | US
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Telephone | 770-436-4450
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAWN CHRISTOPHER CABLE
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Credential | M.D.
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Telephone | 770-436-4450
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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 | 047711
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License Number State | GA
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