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General NPI Number Information
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NPI Number | 1609756493
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Entity Type | Organization
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Legal Business Name | ADVANCED SPINE CARE, LLC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 4070 E LINCOLN DR
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-3922
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Country | US
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Telephone | 602-526-0846
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Fax |
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Provider Business Mailing Address
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Address Line | 4070 E LINCOLN DR
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-3922
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Country | US
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Telephone | 602-526-0846
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATE THONGTRANGAN
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Credential | ACNP
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Telephone | 602-526-0846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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