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General NPI Number Information
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NPI Number | 1427388511
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR SPINAL SURGERY INC
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 02/21/2022
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Provider Practice Location Address
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Address Line | 2000 SPROUL RD SUITE 320
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City | BROOMALL
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State | PA
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Zip | 19008-3509
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Country | US
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Telephone | 610-353-5079
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Fax | 484-427-8103
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Provider Business Mailing Address
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Address Line | 2000 SPROUL RD SUITE 320
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City | BROOMALL
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State | PA
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Zip | 19008-3509
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Country | US
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Telephone | 610-353-5079
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Fax | 484-427-8103
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTIAN FRAS
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Credential | MD
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Telephone | 610-353-5079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD424663
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License Number State | PA
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