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General NPI Number Information
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NPI Number | 1720851991
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Entity Type | Organization
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Legal Business Name | NEUSPINE INSTITUTE LLC
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Dates
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Enumeration Date | 10/31/2023
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 8468 NORTHCLIFFE BLVD
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City | SPRING HILL
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State | FL
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Zip | 34606-1140
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Country | US
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Telephone | 813-333-1186
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Fax | 844-691-5928
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Provider Business Mailing Address
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Address Line | 8468 NORTHCLIFFE BLVD
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City | SPRING HILL
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State | FL
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Zip | 34606-1140
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Country | US
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Telephone | 813-333-1186
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Fax | 844-691-5928
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Authorized Official
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Title or Position | OWNER
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Name | ARMEN DEUKMEDJIAN
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Credential | MD
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Telephone | 813-333-1186
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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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