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General NPI Number Information
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NPI Number | 1093049850
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Entity Type | Organization
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Legal Business Name | N&N PAIN & INJURY CLINIC, PA
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 09/28/2009
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Provider Practice Location Address
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Address Line | 7985 PHELAN BLVD
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City | BEAUMONT
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State | TX
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Zip | 77706-5720
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Country | US
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Telephone | 409-866-7246
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Fax | 409-866-7201
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Provider Business Mailing Address
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Address Line | 7985 PHELAN BLVD
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City | BEAUMONT
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State | TX
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Zip | 77706-5720
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Country | US
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Telephone | 409-866-7246
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Fax | 409-866-7201
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Authorized Official
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Title or Position | OWNER
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Name | JAMES V NINH
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Credential | DC
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Telephone | 281-412-5544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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