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General NPI Number Information
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NPI Number | 1619118577
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Entity Type | Organization
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Legal Business Name | APEX PAIN AND REHABILITATION INC.
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 03/15/2010
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Provider Practice Location Address
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Address Line | 2950 STONE HOGAN RD CONNECTOR SW
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City | ATLANTA
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State | GA
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Zip | 30331-2837
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Country | US
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Telephone | 404-344-8129
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 STONE HOGAN CONN SW SUITE A
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City | ATLANTA
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State | GA
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Zip | 30331-2837
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Country | US
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Telephone | 404-344-8129
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Fax | 404-997-6150
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANIELLO RODRIGUEZ
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Credential | DC
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Telephone | 404-344-8129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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