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General NPI Number Information
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NPI Number | 1124711585
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Entity Type | Organization
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Legal Business Name | NEURO & SPINE CARE SPECIALISTS PLLC
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Dates
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Enumeration Date | 06/01/2023
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 2050 VERSAILLES RD
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City | LEXINGTON
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State | KY
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Zip | 40504-1405
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Country | US
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Telephone | 813-833-3270
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1944
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City | LEXINGTON
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State | KY
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Zip | 40588-1944
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Country | US
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Telephone | 813-833-3270
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Fax | 859-317-8454
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Authorized Official
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Title or Position | OWNER AND PHYSICIAN
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Name | DR. IHAB LABATIA
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Credential | MD
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Telephone | 813-833-3270
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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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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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