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General NPI Number Information
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NPI Number | 1477052645
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Entity Type | Organization
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Legal Business Name | ORTHOSPINE MONITORING LLC
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 02/23/2021
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Provider Practice Location Address
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Address Line | 601 NORTH SHORE DR SUITE 201 #135
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130
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Country | US
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Telephone | 210-545-3713
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 734592
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City | DALLAS
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State | TX
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Zip | 75373-4592
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Country | US
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Telephone | 210-598-5697
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ZESHAN HYDER
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Credential | DO
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Telephone | 210-598-5697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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