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General NPI Number Information
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NPI Number | 1487092904
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Entity Type | Organization
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Legal Business Name | COPPELL SPINE & SPORTS REHAB LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 5000 ELDORADO PKWY SUITE 430
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City | FRISCO
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State | TX
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Zip | 75033-8695
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Country | US
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Telephone | 972-304-9100
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Fax | 214-234-9058
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Provider Business Mailing Address
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Address Line | PO BOX 2650
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City | COPPELL
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State | TX
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Zip | 75019-8650
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP, AUTHORIZED OFFICIAL
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Name | RICHARD BINSTEIN
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Credential | JD
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Telephone | 713-297-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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