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General NPI Number Information
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NPI Number | 1295258051
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Entity Type | Organization
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Legal Business Name | VERITAS INTERVENTIONAL PAIN & SPINE INSTITUTE, LLC
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 09/20/2017
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Provider Practice Location Address
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Address Line | 2209 NORTH BLVD W STE A
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City | DAVENPORT
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State | FL
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Zip | 33837-8903
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Country | US
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Telephone | 863-679-8000
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Fax | 863-679-8008
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Provider Business Mailing Address
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Address Line | 13242 FOX GLOVE ST
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City | WINTER GARDEN
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State | FL
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Zip | 34787-4717
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Country | US
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Telephone | 888-488-2702
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. NARENDREN NARAYANASAMY
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Credential | MD
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Telephone | 863-679-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 2012028529
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License Number State | MO
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