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General NPI Number Information
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NPI Number | 1609672971
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Entity Type | Organization
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Legal Business Name | NRSA GROUP PLLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 2040 WHITFIELD AVE
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City | SARASOTA
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State | FL
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Zip | 34243-3956
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Country | US
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Telephone | 813-333-1353
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Fax | 813-333-2383
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Provider Business Mailing Address
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Address Line | 9360 BALM RIVERVIEW RD
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City | RIVERVIEW
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State | FL
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Zip | 33569-5104
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Country | US
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Telephone | 813-333-1353
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Fax | 813-333-1618
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JADENE KON
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Credential |
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Telephone | 813-333-1353
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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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