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General NPI Number Information
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NPI Number | 1619816642
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Entity Type | Organization
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Legal Business Name | MONTGOMERY BRAIN AND SPINE LLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 901 HARRY S TRUMAN DR N STE 2
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City | LARGO
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State | MD
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Zip | 20774-5477
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Country | US
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Telephone | 301-585-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 SPRING ST STE 210
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City | SILVER SPRING
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State | MD
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Zip | 20910-3654
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Country | US
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Telephone | 301-585-7900
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | APRIL POWELL
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Credential |
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Telephone | 814-826-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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