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General NPI Number Information
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NPI Number | 1063606853
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Entity Type | Organization
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Legal Business Name | STONE OAK SPINE P.A.
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 09/05/2007
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Provider Practice Location Address
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Address Line | 400 N LOOP 1604E SUITE 345
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1223
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Country | US
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Telephone | 210-402-2920
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Fax | 210-403-9827
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Provider Business Mailing Address
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Address Line | 400 N LOOP 1604E SUITE 345
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1223
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Country | US
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Telephone | 210-402-2920
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Fax | 210-403-9827
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. JEFFERY S. TURNER
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Credential | P.T., M.D.T.
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Telephone | 210-402-2920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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