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General NPI Number Information
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NPI Number | 1932008497
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Entity Type | Organization
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Legal Business Name | VIDA SPINE AND PAIN
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 7811 MONTROSE RD STE 220
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City | POTOMAC
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State | MD
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Zip | 20854-3353
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Country | US
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Telephone | 202-304-3244
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Fax | 301-679-1017
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Provider Business Mailing Address
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Address Line | 7811 MONTROSE RD STE 220
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City | POTOMAC
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State | MD
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Zip | 20854-3353
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Country | US
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Telephone | 202-304-3244
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Fax | 301-679-1017
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RAMON GO
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Credential | MD
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Telephone | 202-304-3244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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