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General NPI Number Information
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NPI Number | 1366104473
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Entity Type | Organization
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Legal Business Name | ACME SPINE & ORTHOPEDICS, LLC
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 660 PALM SPRINGS DR STE D
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-7864
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Country | US
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Telephone | 321-972-2932
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Fax |
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Provider Business Mailing Address
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Address Line | 182 BRUSHCREEK DR
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City | SANFORD
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State | FL
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Zip | 32771-7749
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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 | MEDICAL DIRECTOR
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Name | DR. MICHAEL THOMAS
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Credential | DO
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Telephone | 407-764-0771
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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