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General NPI Number Information
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NPI Number | 1104018456
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Entity Type | Organization
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Legal Business Name | SOUTH COAST SPINE & REHABILITATION, P.A.
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 08/10/2007
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Provider Practice Location Address
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Address Line | 795 PAREDES LINE RD SUITE A
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City | BROWNSVILLE
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State | TX
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Zip | 78521-3095
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Country | US
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Telephone | 956-548-2225
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Fax | 956-548-0584
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Provider Business Mailing Address
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Address Line | 795 PAREDES LINE ROAD, SUITE A
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City | BROWNSVILLE
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State | TX
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Zip | 78521
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Country | US
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Telephone | 956-548-2225
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Fax | 956-548-0584
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT SCOTT HOWELL
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Credential | D.C.
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Telephone | 956-548-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 5216
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License Number State | TX
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