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General NPI Number Information
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NPI Number | 1215709910
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Entity Type | Organization
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Legal Business Name | ALTUS SPINE AND JOINT PAIN CARE PLLC
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 1108 E KIKA DE LA GARZA ST
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City | MISSION
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State | TX
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Zip | 78572-4256
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Country | US
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Telephone | 210-449-1029
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Fax |
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Provider Business Mailing Address
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Address Line | 2608 ARROYO AVE
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City | MCALLEN
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State | TX
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Zip | 78504-6364
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Country | US
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Telephone | 210-449-1029
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Fax |
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Authorized Official
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Title or Position | MANAGER-MEDICAL DIRECTOR
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Name | DR. JAIME A SUED
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Credential | MD
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Telephone | 210-449-1029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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