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General NPI Number Information
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NPI Number | 1881688554
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Entity Type | Organization
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Legal Business Name | SPINE AND PAIN TREATMENT MEDICAL CENTER OF SANTA MARIA INC
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Dates
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Enumeration Date | 09/08/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 135 CARMEN LN
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City | SANTA MARIA
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State | CA
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Zip | 93458-7729
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Country | US
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Telephone | 805-928-1115
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Fax | 805-928-1276
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Provider Business Mailing Address
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Address Line | PO BOX 1699
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City | SANTA MARIA
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State | CA
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Zip | 93456-1699
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Country | US
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Telephone | 805-928-1115
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Fax | 805-928-1276
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANCIS P LAGATTUTA
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Credential | MD
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Telephone | 805-928-1115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 050000561
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License Number State | CA
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