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General NPI Number Information
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NPI Number | 1831420785
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Entity Type | Organization
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Legal Business Name | SWISS SPINE CLINIC PLLC
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 01/27/2010
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Provider Practice Location Address
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Address Line | 3100 NC HIGHWAY 55 STE 204
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City | CARY
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State | NC
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Zip | 27519-8427
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Country | US
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Telephone | 919-589-0909
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Fax | 919-589-0199
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Provider Business Mailing Address
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Address Line | 3100 NC HIGHWAY 55 STE 204
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City | CARY
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State | NC
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Zip | 27519-8427
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Country | US
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Telephone | 919-589-0909
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Fax | 919-589-0199
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Authorized Official
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Title or Position | OWNER/CLINIC DIRECTOR
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Name | DR. THOMAS HANS GUGERLI
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Credential | DC
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Telephone | 919-589-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 3955
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License Number State | NC
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