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NPI 1528268976

NPI 1528268976 : CENTER FOR SPINE & SPECIAL SURGERY : HENDERSON, NV

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General NPI Number Information
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    NPI Number           |    1528268976
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTER FOR SPINE & SPECIAL SURGERY 
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Dates
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    Enumeration Date     |    07/24/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    3175 ST. ROSE PARKWAY SUITE 121
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89052
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    Country              |    US
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    Telephone            |    702-320-8111
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    Fax                  |    702-851-1532
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Provider Business Mailing Address
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    Address Line         |    7140 SMOKE RANCH RD STE 150 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89128-3157
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    Country              |    US
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    Telephone            |    702-320-8111
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    Fax                  |    702-851-1532
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Authorized Official
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    Title or Position    |    OWNER/CEO
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    Name                 |    DR. JASWINDER S. GROVER 
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    Credential           |    M.D.
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    Telephone            |    702-839-4810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA1903X
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    Taxonomy Name        |    Ambulatory Surgical Clinic/Center
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    License Number       |    C14004521123339
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    License Number State |    NV
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