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General NPI Number Information
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NPI Number | 1235470766
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Entity Type | Organization
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Legal Business Name | TWISTED SPINE & JOINT CENTER, PLLC
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Dates
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Enumeration Date | 03/07/2013
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Last Update Date | 12/12/2018
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Provider Practice Location Address
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Address Line | 5899 PRESTON RD STE 504
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City | FRISCO
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State | TX
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Zip | 75034-9590
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Country | US
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Telephone | 214-618-3991
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Fax |
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Provider Business Mailing Address
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Address Line | 5899 PRESTON RD STE 504
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City | FRISCO
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State | TX
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Zip | 75034-9590
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Country | US
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Telephone | 214-618-3991
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRYAN DEAN STANTON
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Credential | DC
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Telephone | 214-618-3991
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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 | 11710
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License Number State | TX
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