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General NPI Number Information
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NPI Number | 1285015750
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Entity Type | Organization
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Legal Business Name | SINES & SPINES, LLC
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Dates
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Enumeration Date | 06/10/2015
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Last Update Date | 06/10/2015
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Provider Practice Location Address
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Address Line | 605 HOMESTEAD DR
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City | DALLAS
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State | GA
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Zip | 30157-4662
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Country | US
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Telephone | 724-317-5242
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Fax |
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Provider Business Mailing Address
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Address Line | 110 EVANS MILL DR SUITE 309
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City | DALLAS
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State | GA
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Zip | 30157-1622
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Country | US
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Telephone | 724-317-5242
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Fax | 678-550-9028
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Authorized Official
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Title or Position | OWNER
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Name | DR. DELBERT SINES
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Credential | D.C.
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Telephone | 724-317-5242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIRO009278
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License Number State | GA
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