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General NPI Number Information
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NPI Number | 1881962348
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Entity Type | Organization
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Legal Business Name | CENTER FOR SPINE & PAIN MEDICINE PC
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 7446 SHALLOWFORD RD STE 110
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City | CHATTANOOGA
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State | TN
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Zip | 37421-2352
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Country | US
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Telephone | 706-279-2635
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Fax | 706-279-2679
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Provider Business Mailing Address
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Address Line | 1413 CHATTANOOGA AVE
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City | DALTON
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State | GA
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Zip | 30720-2631
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Country | US
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Telephone | 706-279-2635
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Fax | 706-279-2679
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | SADIQ SOHANI
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Credential | MD
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Telephone | 706-279-2635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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