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General NPI Number Information
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NPI Number | 1700181237
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Entity Type | Organization
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Legal Business Name | ALPHA SPINE CENTER, INC.
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 12220 BIRMINGHAM HWY SUITE 40
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City | MILTON
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State | GA
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Zip | 30004-4186
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Country | US
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Telephone | 770-777-2377
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Fax |
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Provider Business Mailing Address
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Address Line | 12220 BIRMINGHAM HWY SUITE 40
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City | MILTON
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State | GA
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Zip | 30004-4186
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Country | US
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Telephone | 770-777-2377
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRYAN J. SALMINEN
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Credential | D.C
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Telephone | 770-777-2377
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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 | CHIR006361
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License Number State | GA
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