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General NPI Number Information
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NPI Number | 1952298051
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Entity Type | Organization
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Legal Business Name | MILLENNIUM SPINE & JOINT LLC
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 6700 N MESA ST STE 2
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City | EL PASO
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State | TX
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Zip | 79912-4432
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Country | US
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Telephone | 915-224-0223
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Fax |
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Provider Business Mailing Address
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Address Line | 3850 E LOHMAN AVE STE 100
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City | LAS CRUCES
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State | NM
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Zip | 88011-8288
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MAURICE HESSER
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Credential |
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Telephone | 575-496-8210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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