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General NPI Number Information
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NPI Number | 1508232299
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Entity Type | Organization
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Legal Business Name | LONESTAR SPINE SPECIALISTS PLLC
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Dates
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Enumeration Date | 08/17/2015
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Last Update Date | 08/17/2015
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Provider Practice Location Address
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Address Line | 9303 PINECROFT DR SUITE 320
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City | THE WOODLANDS
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State | TX
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Zip | 77380-3181
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Country | US
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Telephone | 214-378-4656
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Fax | 866-375-8173
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Provider Business Mailing Address
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Address Line | PO BOX 674074
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City | DALLAS
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State | TX
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Zip | 75267-4074
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Country | US
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Telephone | 214-378-4656
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Fax | 866-375-8173
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | HOLLIE N SEAGO
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Credential |
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Telephone | 214-378-4656
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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 |
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License Number State | TX
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