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General NPI Number Information
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NPI Number | 1073411955
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Entity Type | Organization
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Legal Business Name | BRAIN & SPINE ADVANCE INSTITUTE BASI PLLC
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Dates
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Enumeration Date | 10/29/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 50 N PERRY ST
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City | PONTIAC
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State | MI
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Zip | 48342-2217
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Country | US
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Telephone | 248-516-5016
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Fax | 866-538-1934
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Provider Business Mailing Address
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Address Line | 50 N PERRY ST
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City | PONTIAC
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State | MI
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Zip | 48342-2217
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Country | US
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Telephone | 248-516-5016
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Fax | 866-538-1934
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Authorized Official
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Title or Position | OWNER
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Name | ABDULLAH AL-ARFAJ
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Credential |
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Telephone | 602-737-6070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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