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General NPI Number Information
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NPI Number | 1932268844
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Entity Type | Organization
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Legal Business Name | THE BRAIN & SPINE CENTER PC
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 632 2ND ST NE
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City | ALABASTER
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State | AL
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Zip | 35007-8817
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Country | US
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Telephone | 205-621-0122
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Fax | 205-621-0145
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Provider Business Mailing Address
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Address Line | 632 2ND ST NE
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City | ALABASTER
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State | AL
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Zip | 35007-8817
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Country | US
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Telephone | 205-621-0122
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Fax | 205-621-0145
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SEAN O'MALLEY
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Credential | MD
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Telephone | 205-621-0122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 18447
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License Number State | AL
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