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General NPI Number Information
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NPI Number | 1548883192
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Entity Type | Organization
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Legal Business Name | SPINE CENTER PC
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Dates
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Enumeration Date | 05/18/2020
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Last Update Date | 05/18/2020
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Provider Practice Location Address
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Address Line | 2726 ELECTRIC RD STE 203A
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City | ROANOKE
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State | VA
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Zip | 24018-3528
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Country | US
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Telephone | 540-725-9771
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Fax | 540-725-3624
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Provider Business Mailing Address
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Address Line | PO BOX 21435
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City | ROANOKE
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State | VA
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Zip | 24018-0551
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Country | US
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Telephone | 540-725-9771
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Fax | 540-725-3624
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | ROBERT L PRESSLEY JR.
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Credential |
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Telephone | 540-772-9154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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