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General NPI Number Information
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NPI Number | 1134030547
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Entity Type | Organization
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Legal Business Name | AXON NEUROSURGERY
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 1 BALA AVE STE LL3
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City | BALA CYNWYD
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State | PA
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Zip | 19004-3218
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Country | US
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Telephone | 215-565-1008
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8918
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City | ELKINS PARK
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State | PA
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Zip | 19027-8918
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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 | NEUROSURGEON
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Name | CHRISTOPHER BILBAO
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Credential | DO
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Telephone | 516-805-6193
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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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