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General NPI Number Information
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NPI Number | 1942840921
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Entity Type | Organization
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Legal Business Name | THE INTERVENTIONAL SPINE AND JOINT CENTER PLLC
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 02/20/2020
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Provider Practice Location Address
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Address Line | 800 PEAKWOOD DR STE 4F
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City | HOUSTON
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State | TX
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Zip | 77090-2914
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Country | US
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Telephone | 832-232-5673
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Fax | 281-583-4034
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Provider Business Mailing Address
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Address Line | 800 PEAKWOOD DR STE 4F
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City | HOUSTON
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State | TX
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Zip | 77090-2914
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Country | US
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Telephone | 832-232-5673
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Fax | 281-583-4034
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Authorized Official
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Title or Position | OWNER
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Name | NAVEEN RAMINENI
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Credential | MD
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Telephone | 832-232-5673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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