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General NPI Number Information
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NPI Number | 1669061834
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Entity Type | Organization
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Legal Business Name | NORTH ATLANTA SPINE, PC
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 5755 N POINT PKWY STE 240
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City | ALPHARETTA
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State | GA
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Zip | 30022-1173
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Country | US
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Telephone | 678-691-3221
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Fax | 888-819-7891
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Provider Business Mailing Address
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Address Line | 5755 N POINT PKWY STE 240
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City | ALPHARETTA
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State | GA
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Zip | 30022-1173
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Country | US
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Telephone | 678-691-3221
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ALEXANDRO PAULK
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Credential | DC
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Telephone | 678-691-3221
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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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