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General NPI Number Information
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NPI Number | 1033355144
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Entity Type | Organization
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Legal Business Name | SPINAL REHABILITATION ASSOCIATES RLLP
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Dates
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Enumeration Date | 12/18/2008
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Last Update Date | 05/10/2010
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Provider Practice Location Address
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Address Line | 3201 E PRESIDENT GEORGE BUSH HWY SUITE 107
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City | RICHARDSON
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State | TX
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Zip | 75082-3566
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Country | US
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Telephone | 214-691-2975
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Fax | 214-691-2967
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Provider Business Mailing Address
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Address Line | 3201 E PRESIDENT GEORGE BUSH HWY SUITE 107
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City | RICHARDSON
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State | TX
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Zip | 75082-3566
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Country | US
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Telephone | 214-530-8400
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Fax | 214-691-2967
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. KAREN MCNERNEY
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Credential | CMOM
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Telephone | 214-530-8400
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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 | TX
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