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General NPI Number Information
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NPI Number | 1699337808
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Entity Type | Organization
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Legal Business Name | TOTAL SPINE INSTITUTE PLLC
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Dates
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Enumeration Date | 07/08/2019
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 1110 NIKKI VIEW DR
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City | BRANDON
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State | FL
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Zip | 33511-4868
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Country | US
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Telephone | 813-997-2099
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 NIKKI VIEW DR
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City | BRANDON
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State | FL
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Zip | 33511-4868
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIEN VIET LE
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Credential | MD
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Telephone | 813-422-4166
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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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