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General NPI Number Information
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NPI Number | 1205074606
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE ORTHOPEDICS & PAIN MANAGEMENT, PA
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 6225 FM 2920 RD STE 205
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City | SPRING
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State | TX
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Zip | 77379-3474
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Country | US
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Telephone | 832-559-3061
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Fax | 832-559-3783
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Provider Business Mailing Address
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Address Line | 6225 FM 2920 RD STE 205
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City | SPRING
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State | TX
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Zip | 77379-3474
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Country | US
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Telephone | 832-559-3061
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Fax | 832-559-3783
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ERNEST T ROMAN
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Credential |
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Telephone | 832-559-3061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number | H6938
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License Number State | TX
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