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General NPI Number Information
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NPI Number | 1104586916
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Entity Type | Organization
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Legal Business Name | PERFORMANCE SPINE AND BRAIN, LLC
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 233 PECAN PARK AVE STE D
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City | ALEXANDRIA
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State | LA
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Zip | 71303-3362
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Country | US
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Telephone | 800-238-0827
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Fax | 318-219-5221
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Provider Business Mailing Address
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Address Line | PO BOX 11758
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City | ALEXANDRIA
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State | LA
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Zip | 71315-1758
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Country | US
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Telephone | 800-238-0827
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Fax | 318-219-5221
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Authorized Official
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Title or Position | CEO
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Name | DR. PAUL V BIRINYI
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Credential | MD
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Telephone | 800-238-0827
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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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