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General NPI Number Information
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NPI Number | 1982575700
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Entity Type | Organization
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Legal Business Name | ASPIRE SPINE AND PAIN CENTER, LLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1569 JANMAR RD STE F
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City | SNELLVILLE
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State | GA
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Zip | 30078-5780
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Country | US
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Telephone | 470-622-5143
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Fax | 470-622-5144
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Provider Business Mailing Address
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Address Line | 1569 JANMAR RD STE F
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City | SNELLVILLE
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State | GA
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Zip | 30078-5780
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Country | US
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Telephone | 470-622-5143
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Fax | 470-622-5144
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMED AMIN KORONFEL
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Credential | MD
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Telephone | 281-857-5948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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