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General NPI Number Information
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NPI Number | 1023993318
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Entity Type | Organization
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Legal Business Name | NEUROSPINE MD
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 175 W LEXINGTON AVE STE B
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City | EL CAJON
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State | CA
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Zip | 92020-4454
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Country | US
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Telephone | 725-502-1061
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Fax |
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Provider Business Mailing Address
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Address Line | 175 W LEXINGTON AVE STE B
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City | EL CAJON
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State | CA
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Zip | 92020-4454
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FAHIMA NASAR
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Credential |
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Telephone | 725-502-1061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P0004X
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Taxonomy Name | Spinal Cord Injury Medicine Physician
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License Number |
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License Number State |
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