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General NPI Number Information
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NPI Number | 1184695694
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Entity Type | Organization
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Legal Business Name | SPINECARE ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 07/20/2015
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Provider Practice Location Address
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Address Line | 2250 DREW STREET
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City | CLEARWATER
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State | FL
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Zip | 33765-3305
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Country | US
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Telephone | 727-797-7463
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Fax | 727-216-0374
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Provider Business Mailing Address
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Address Line | 2250 DREW STREET
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City | CLEARWATER
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State | FL
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Zip | 33765-3305
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Country | US
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Telephone | 727-797-7463
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Fax | 727-216-0374
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | SCOTT WEBB
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Credential | M.D.
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Telephone | 727-797-7463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) 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 | 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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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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