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General NPI Number Information
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NPI Number | 1689468308
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Entity Type | Organization
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Legal Business Name | VIP SPINE LLC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 7455 W AZURE DR STE 140
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City | LAS VEGAS
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State | NV
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Zip | 89130-4431
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Country | US
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Telephone | 702-765-4222
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Fax | 702-718-6652
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Provider Business Mailing Address
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Address Line | 7455 W AZURE DR STE 140
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City | LAS VEGAS
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State | NV
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Zip | 89130-4431
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Country | US
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Telephone | 702-765-4222
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Fax | 702-718-6652
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. RODNEY SPENCER SMITH
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Credential | MD
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Telephone | 702-765-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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