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General NPI Number Information
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NPI Number | 1346242757
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Entity Type | Organization
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Legal Business Name | UPSTATE SPINE AND NEUROSURGERY CENTER
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 1075 BOILING SPRINGS RD
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City | SPARTANBURG
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State | SC
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Zip | 29303-2248
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Country | US
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Telephone | 864-583-7265
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Fax | 864-591-0422
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Provider Business Mailing Address
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Address Line | 1075 BOILING SPRINGS RD
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City | SPARTANBURG
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State | SC
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Zip | 29303-2248
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Country | US
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Telephone | 864-583-7265
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Fax | 864-591-0422
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILLIP ESCE
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Credential | MD
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Telephone | 864-583-7265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 207T00000X
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License Number State | SC
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