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General NPI Number Information
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NPI Number | 1205752219
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Entity Type | Organization
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Legal Business Name | SPINE123 MANAGEMENT LLC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 827 WILLOW GROVE RD
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City | WESTFIELD
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State | NJ
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Zip | 07090-3523
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Country | US
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Telephone | 718-309-5715
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Fax |
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Provider Business Mailing Address
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Address Line | 827 WILLOW GROVE RD
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City | WESTFIELD
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State | NJ
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Zip | 07090-3523
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Country | US
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Telephone | 718-309-5715
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. FRANCINE MAGRONE
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Credential | NP
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Telephone | 718-309-5715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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