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General NPI Number Information
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NPI Number | 1417127416
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS PRECISION PAIN CARE, P.A.
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 3550 PARKWOOD BLVD STE 306
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City | FRISCO
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State | TX
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Zip | 75034-1905
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Country | US
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Telephone | 214-618-6852
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Fax |
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Provider Business Mailing Address
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Address Line | 3550 PARKWOOD BLVD STE 306
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City | FRISCO
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State | TX
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Zip | 75034-1905
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Country | US
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Telephone | 972-689-7288
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRAIG SCOTT NELESON
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Credential | M.D.
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Telephone | 972-689-7288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | M1970
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License Number State | TX
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