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General NPI Number Information
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NPI Number | 1801605985
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Entity Type | Organization
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Legal Business Name | ENDOSCOPIC AND MINIMALLY INVASIVE SPINE SPECIALISTS, LLC
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 11603 SHELDON RD
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City | TAMPA
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State | FL
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Zip | 33626-4306
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Country | US
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Telephone | 321-446-5996
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Fax |
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Provider Business Mailing Address
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Address Line | 3021 PRINCETON LN
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-3428
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Country | US
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Telephone | 321-446-5996
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AARON SMITH
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Credential | DO
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Telephone | 321-446-5996
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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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