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General NPI Number Information
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NPI Number | 1538177290
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Entity Type | Organization
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Legal Business Name | RIVERCITY REHABILITATION AND SPINE SPECIALISTS, P.C.
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 06/17/2010
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Provider Practice Location Address
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Address Line | 2300 13TH ST SUITE A
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City | COLUMBUS
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State | GA
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Zip | 31906-2596
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Country | US
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Telephone | 706-243-7010
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Fax | 706-243-7019
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Provider Business Mailing Address
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Address Line | 2300 13TH ST SUITE A
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City | COLUMBUS
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State | GA
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Zip | 31906-2596
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Country | US
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Telephone | 706-243-7010
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Fax | 706-243-7019
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. GARY N DAWSON
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Credential | M.D.
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Telephone | 706-243-7010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | 053857
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License Number State | GA
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