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General NPI Number Information
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NPI Number | 1235070558
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Entity Type | Organization
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Legal Business Name | ADVANCED SPINE AND PAIN LLC
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 2301 E. EVESHAM ROAD. PAVILION 800 SUITE 209 & SUITE 113
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City | VOORHEES
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State | NJ
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Zip | 08043
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Country | US
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Telephone | 855-527-7246
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Fax | 866-229-5063
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Provider Business Mailing Address
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Address Line | 201 DEFENSE HWY STE 205
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7096
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Country | US
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Telephone | 855-527-7246
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Fax | 866-229-5063
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Authorized Official
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Title or Position | SR. VICE PRESIDENT
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Name | BRITNI CULLEN
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Credential |
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Telephone | 443-837-9913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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