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General NPI Number Information
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NPI Number | 1811260979
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Entity Type | Organization
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Legal Business Name | UPPER CERVICAL SPINE CENTER, LLC
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Dates
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Enumeration Date | 02/20/2012
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 40 SAINT MARK RD
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City | TAYLORS
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State | SC
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Zip | 29687-5233
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Country | US
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Telephone | 864-283-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 40 SAINT MARK RD
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City | TAYLORS
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State | SC
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Zip | 29687-5233
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ANTHONY JOSEPH GIORDANI
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Credential | DC
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Telephone | 864-430-6800
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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 | 3632
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License Number State | SC
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