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General NPI Number Information
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NPI Number | 1336053289
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Entity Type | Organization
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Legal Business Name | CENTRE SPINE SPORTS AND THERAPIES
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 611 UNIVERSITY DR STE 210
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City | STATE COLLEGE
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State | PA
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Zip | 16801-6552
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Country | US
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Telephone | 814-699-2879
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 RUSSELL RD
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City | BOALSBURG
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State | PA
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Zip | 16827-1723
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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 | OWNER
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Name | DR. GREGORY GEORGE BILLY
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Credential | MD
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Telephone | 814-699-2879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State | NULL
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