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General NPI Number Information
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NPI Number | 1639994114
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Entity Type | Organization
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Legal Business Name | AICA ORTHOPEDICS P.C.
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 1014 SYCAMORE DR
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City | DECATUR
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State | GA
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Zip | 30030-1644
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Country | US
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Telephone | 678-701-2225
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Fax | 678-206-0502
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Provider Business Mailing Address
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Address Line | 2253 NORTHWEST PKWY SE
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City | MARIETTA
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State | GA
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Zip | 30067-8764
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Country | US
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Telephone | 678-701-2225
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Fax |
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Authorized Official
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Title or Position | INSURANCE COLLECTIONS MANAGER
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Name | SPENCER MORGAN
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Credential |
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Telephone | 678-701-2225
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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