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General NPI Number Information
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NPI Number | 1437662145
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Entity Type | Organization
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Legal Business Name | DFW PAIN INSTITUTE PLLC DBA NORTEX SPINE & JOINT INSTITUTE
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 981 STATE HIGHWAY 121 STE 4150
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City | ALLEN
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State | TX
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Zip | 75013-6150
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Country | US
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Telephone | 972-872-8408
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Fax | 972-850-7352
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Provider Business Mailing Address
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Address Line | 981 STATE HIGHWAY 121 STE 4150
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City | ALLEN
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State | TX
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Zip | 75013-6150
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Country | US
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Telephone | 972-872-8408
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Fax | 972-850-7352
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Authorized Official
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Title or Position | MANAGER
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Name | MS. SHANNON BARNES
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Credential |
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Telephone | 972-872-8408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | Q7044
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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