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General NPI Number Information
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NPI Number | 1467261875
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Entity Type | Organization
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Legal Business Name | SPINE AND NERVE CENTER RIVERVIEW, LLC
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Dates
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Enumeration Date | 01/01/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 13023 SUMMERFIELD SQUARE DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-7402
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Country | US
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Telephone | 813-741-1071
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Fax | 866-709-3257
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Provider Business Mailing Address
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Address Line | 13023 SUMMERFIELD SQUARE DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-7402
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Country | US
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Telephone | 813-741-1071
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Fax | 833-664-4104
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Authorized Official
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Title or Position | OWNER
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Name | DR. ABRAHAM JOSIAH FURA
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Credential | DO
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Telephone | 831-741-1071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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