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General NPI Number Information
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NPI Number | 1114877156
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Entity Type | Organization
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Legal Business Name | NEXTGEN SPINE, PLLC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 25 RECREATION PARK DR STE 112
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City | HINGHAM
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State | MA
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Zip | 02043-4256
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Country | US
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Telephone | 781-277-7398
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Fax |
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Provider Business Mailing Address
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Address Line | 145 BEECHWOOD RD
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City | HANSON
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State | MA
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Zip | 02341-1122
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Country | US
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Telephone | 781-277-7398
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | GREGORY V MARA
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Credential | DC
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Telephone | 339-933-5273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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