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General NPI Number Information
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NPI Number | 1447359112
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Entity Type | Organization
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Legal Business Name | SPECIALTY SPINE AND PAIN PC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1250 JESSE JEWELL PKWY SE STE 200
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City | GAINESVILLE
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State | GA
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Zip | 30501-3871
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Country | US
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Telephone | 770-297-7277
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Fax |
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Provider Business Mailing Address
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Address Line | 4960 SW 72ND AVE STE 405
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City | MIAMI
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State | FL
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Zip | 33155-5506
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Country | US
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Telephone | 469-458-9222
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Fax | 540-918-7202
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Authorized Official
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Title or Position | RCM SR. DIRECTOR
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Name | NICOLE FINKLE
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Credential |
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Telephone | 719-243-9490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | GA
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