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General NPI Number Information
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NPI Number | 1528554474
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Entity Type | Organization
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Legal Business Name | HILLCREST PAIN & SPINE PLLC
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Dates
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Enumeration Date | 07/03/2018
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Last Update Date | 02/24/2019
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Provider Practice Location Address
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Address Line | 853 LANE ALLEN RD STE 217
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City | LEXINGTON
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State | KY
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Zip | 40504
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Country | US
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Telephone | 859-523-5300
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Fax | 859-523-5855
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Provider Business Mailing Address
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Address Line | 853 LANE ALLEN RD
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City | LEXINGTON
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State | KY
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Zip | 40504-3605
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Country | US
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Telephone | 859-523-5300
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Fax | 859-523-5855
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Authorized Official
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Title or Position | OWNER
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Name | IHAB LABATIA
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Credential | MD
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Telephone | 813-833-3270
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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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