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General NPI Number Information
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NPI Number | 1932091220
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Entity Type | Organization
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Legal Business Name | SPINELUX PAIN AND ORTHO, PLLC
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Dates
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Enumeration Date | 07/19/2025
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Last Update Date | 07/19/2025
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Provider Practice Location Address
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Address Line | 100 E ROYAL LN STE 125
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City | IRVING
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State | TX
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Zip | 75039-4215
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Country | US
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Telephone | 214-920-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E ROYAL LN STE 125
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City | IRVING
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State | TX
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Zip | 75039-4215
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Country | US
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Telephone | 214-920-9111
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. AMIR BALUCH
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Credential | MD
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Telephone | 214-920-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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