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General NPI Number Information
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NPI Number | 1538439708
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Entity Type | Organization
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Legal Business Name | VERTICAL SPINE & SPORTS MEDICINE,INC
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 103 5TH ST SE STE S
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City | BARBERTON
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State | OH
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Zip | 44203-4256
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Country | US
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Telephone | 330-753-3232
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Fax | 330-753-3234
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Provider Business Mailing Address
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Address Line | 103 5TH ST SE STE S
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City | BARBERTON
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State | OH
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Zip | 44203-4256
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Country | US
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Telephone | 330-753-3232
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Fax | 330-753-3234
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Authorized Official
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Title or Position | OWNER
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Name | ALI SHAKIR
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Credential | MD
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Telephone | 330-753-3232
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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 | 35-084486
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License Number State | OH
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