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General NPI Number Information
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NPI Number | 1194539965
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE SPINAL SOLUTIONS
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 130 S BRYN MAWR AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-3121
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Country | US
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Telephone | 484-337-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 224 N BOWMAN AVE
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City | MERION STATION
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State | PA
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Zip | 19066-1222
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Country | US
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Telephone | 732-735-8874
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Fax |
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Authorized Official
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Title or Position | SURGEON
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Name | IAN DAVID KAYE
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Credential | MD
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Telephone | 732-735-8874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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