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General NPI Number Information
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NPI Number | 1497164990
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Entity Type | Organization
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Legal Business Name | NEXT GENERATION ORTHOPEDIC & SPINE INSTITUTE, PLLC
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 200 VALLEY WOOD DR STE A300
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City | THE WOODLANDS
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State | TX
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Zip | 77380-3573
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Country | US
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Telephone | 832-402-1400
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Fax | 210-855-7337
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Provider Business Mailing Address
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Address Line | 200 VALLEY WOOD DR STE A300
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City | THE WOODLANDS
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State | TX
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Zip | 77380-3573
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Country | US
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Telephone | 832-402-1400
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Fax | 210-855-7337
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY OWUSU
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Credential | MD
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Telephone | 832-402-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | P6882
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License Number State | TX
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