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General NPI Number Information
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NPI Number | 1992684294
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Entity Type | Organization
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Legal Business Name | SPINE AND REGENERATIVE INSTITUTE OF MICHIGAN, PLLC
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 2900 PACKARD RD STE 1G
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City | YPSILANTI
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State | MI
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Zip | 48197-2061
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Country | US
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Telephone | 734-221-8378
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Fax | 866-651-8187
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Provider Business Mailing Address
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Address Line | 2900 PACKARD RD STE 1G
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City | YPSILANTI
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State | MI
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Zip | 48197-2061
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Country | US
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Telephone | 734-221-8378
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Fax | 866-651-8187
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Authorized Official
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Title or Position | MEMBER
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Name | DR. SYED ABBAS MOOSAVI
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Credential | MD
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Telephone | 248-844-8281
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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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