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1134748221
ADVANCED SPINE AND PAIN PLLC
FAIRFAX, VA
NPI
1134748221
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Entity Type
Organization
Authorized Contact
THOMAS J RALEY
Owner
703-522-2727
Organization Subpart ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
Enumeration Date
2020-04-09
Last Update Date
2020-04-09
Business Address
ADVANCED SPINE AND PAIN PLLC
11230 WAPLES MILL RD STE 114C
FAIRFAX, VA 22030-5026
Phone number: 703-522-2727
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Mailing Address
ADVANCED SPINE AND PAIN PLLC
450 GARRISONVILLE RD # 210
STAFFORD, VA 22554-1615
Phone number:
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