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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
VA |
261QV0200X |
| NPI # | 1174762157 |
| LBN Legal business name | HALIFAX SPINE CENTER |
| Authorized official | HOLLY SMITH - (MANAGING DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/13/2009 |
| Last updated | 02/13/2009 - About 17 years ago |
| Identifiers | n/a |
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HALIFAX SPINE CENTER
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HALIFAX SPINE CENTER