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General NPI Number Information
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NPI Number | 1376907956
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Entity Type | Organization
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Legal Business Name | SPINE AND JOINT PAIN MANAGMENT CENTER,P.C.
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | G3273 BEECHER RD
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City | FLINT
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State | MI
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Zip | 48532-3615
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Country | US
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Telephone | 248-234-3101
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Fax | 248-281-3535
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Provider Business Mailing Address
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Address Line | 1221 BOWERS ST UNIT 2653
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City | BIRMINGHAM
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State | MI
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Zip | 48012-7107
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Country | US
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Telephone | 248-200-7756
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Fax | 248-281-3535
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Authorized Official
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Title or Position | PRESIDENT
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Name | MUHAMMAD AHSAN
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Credential | MD
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Telephone | 937-673-3983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 4301097463
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License Number State | MI
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