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General NPI Number Information
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NPI Number | 1437441292
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PAIN & SPINE ASSOCIATES, PLLC
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 04/09/2012
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Provider Practice Location Address
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Address Line | 8035 PROVIDENCE RD 340
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City | CHARLOTTE
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State | NC
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Zip | 28277-9716
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Country | US
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Telephone | 704-542-3988
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Fax |
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Provider Business Mailing Address
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Address Line | 8035 PROVIDENCE RD 340
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City | CHARLOTTE
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State | NC
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Zip | 28277-9716
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Country | US
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Telephone | 704-542-3988
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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. ADAM MICHAEL BERLINER
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Credential | D.O.
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Telephone | 704-941-9669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 201001017
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License Number State | NC
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