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General NPI Number Information
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NPI Number | 1023860574
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Entity Type | Organization
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Legal Business Name | SPINE CENTER, LLC
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Dates
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Enumeration Date | 04/05/2024
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 9001 SUMMA AVE STE 346
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City | BATON ROUGE
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State | LA
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Zip | 70809-3779
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Country | US
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Telephone | 225-515-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 9001 SUMMA AVE STE 346
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City | BATON ROUGE
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State | LA
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Zip | 70809-3779
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Country | US
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Telephone | 225-515-5700
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | MR. NAVID PAPEHN
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Credential |
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Telephone | 818-642-1170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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