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General NPI Number Information
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NPI Number | 1801031786
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Entity Type | Organization
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Legal Business Name | CENTURY SPINE CENTER, INC.
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 7696 OCEAN GATEWAY CENTURY SPINE CENTER
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City | EASTON
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State | MD
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Zip | 21601-3349
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Country | US
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Telephone | 410-763-6700
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Fax | 410-763-9114
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Provider Business Mailing Address
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Address Line | 7696 OCEAN GATEWAY CENTURY SPINE CENTER
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City | EASTON
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State | MD
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Zip | 21601-3349
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Country | US
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Telephone | 410-763-6700
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Fax | 410-763-9114
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL ZUSCHNITT
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Credential | D.C.
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Telephone | 410-763-6700
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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 | 01897
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License Number State | MD
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