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General NPI Number Information
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NPI Number | 1457974552
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Entity Type | Organization
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Legal Business Name | ALL SPINE CARE, LLC
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Dates
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Enumeration Date | 05/22/2020
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1700 N MCMULLEN BOOTH RD STE B1
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City | CLEARWATER
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State | FL
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Zip | 33759-2100
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Country | US
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Telephone | 727-580-7747
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Fax | 727-245-8879
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Provider Business Mailing Address
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Address Line | 1700 N MCMULLEN BOOTH RD STE B1
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City | CLEARWATER
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State | FL
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Zip | 33759-2100
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Country | US
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Telephone | 727-474-7411
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Fax | 833-974-2140
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW MOULTON
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Credential | MD
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Telephone | 347-546-5674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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