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General NPI Number Information
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NPI Number | 1992331581
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Entity Type | Organization
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Legal Business Name | WORLD SPINE AND ORTHOPEDICS LLC
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Dates
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Enumeration Date | 03/16/2020
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 4296 MEMORIAL DR STE C
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City | DECATUR
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State | GA
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Zip | 30032-1227
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Country | US
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Telephone | 513-297-8318
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Fax | 949-577-4602
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Provider Business Mailing Address
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Address Line | 3440 BURDETT CT
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City | AVONDALE ESTATES
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State | GA
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Zip | 30002-1783
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Country | US
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Telephone | 513-297-8318
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Fax |
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. HENAKU KWADWO YIRENKYI
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Credential | MD
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Telephone | 513-297-8318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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