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General NPI Number Information
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NPI Number | 1245877489
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Entity Type | Organization
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Legal Business Name | SERENITY SPINE CENTER
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Dates
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Enumeration Date | 12/06/2019
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 41 PARK OF COMMERCE WAY STE 200
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City | SAVANNAH
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State | GA
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Zip | 31405-1369
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Country | US
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Telephone | 912-201-1540
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Fax | 912-349-2609
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Provider Business Mailing Address
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Address Line | 41 PARK OF COMMERCE WAY STE 200
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City | SAVANNAH
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State | GA
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Zip | 31405-1369
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Country | US
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Telephone | 912-201-1540
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Fax | 912-349-2609
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Authorized Official
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Title or Position | OWNER, MEMBER
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Name | CHIRAG PATEL
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Credential | MD
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Telephone | 912-201-1540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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