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General NPI Number Information
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NPI Number | 1265858708
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Entity Type | Organization
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Legal Business Name | SURGICAL SPECTRUM, LLC
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Dates
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Enumeration Date | 03/07/2014
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 9301 SOUTHWEST FWY SUITE 350
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City | HOUSTON
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State | TX
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Zip | 77074-1510
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Country | US
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Telephone | 832-252-1315
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Fax | 832-252-1039
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Provider Business Mailing Address
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Address Line | PO BOX 13654
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City | BELFAST
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State | ME
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Zip | 04915-4027
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Country | US
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Telephone | 713-203-1645
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Fax | 713-383-7500
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. JUANITTA FRANCIS
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Credential |
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Telephone | 713-203-1645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine 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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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