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General NPI Number Information
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NPI Number | 1295248854
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Entity Type | Organization
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Legal Business Name | GALXY ORTHOPEDIC & SPINE CENTER ,LLC
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 11/06/2017
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Provider Practice Location Address
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Address Line | 1951 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33125-3448
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Country | US
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Telephone | 786-360-5051
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Fax |
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Provider Business Mailing Address
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Address Line | 1951 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33125-3448
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REGISTERED AGENT
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Name | LOUIS M STARACE
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Credential | MD
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Telephone | 786-360-5051
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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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