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General NPI Number Information
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NPI Number | 1023763570
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Entity Type | Organization
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Legal Business Name | ADVANCED INTEGRATED PAIN & SPINE SOLUTIONS
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 1925 DON WICKHAM DR
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City | CLERMONT
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State | FL
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Zip | 34711-1915
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Country | US
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Telephone | 407-807-0098
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Fax | 407-530-0864
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Provider Business Mailing Address
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Address Line | PO BOX 607
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City | MINNEOLA
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State | FL
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Zip | 34755-0607
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Country | US
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Telephone | 407-807-0098
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Fax | 407-530-0864
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Authorized Official
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Title or Position | OWNER
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Name | NARENDREN NARAYANASAMY
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Credential | MD
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Telephone | 407-807-0098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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