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General NPI Number Information
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NPI Number | 1528259520
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Entity Type | Organization
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Legal Business Name | SPINE AND JOINT PAIN CENTER, PA
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 04/08/2014
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Provider Practice Location Address
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Address Line | 12811 BEAMER RD
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City | HOUSTON
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State | TX
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Zip | 77089-6140
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Country | US
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Telephone | 832-864-3606
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Fax | 281-549-4927
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Provider Business Mailing Address
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Address Line | 1110 NASA PKWY SUITE 104
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City | HOUSTON
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State | TX
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Zip | 77058-3310
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Country | US
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Telephone | 832-864-3606
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Fax | 281-549-4927
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Authorized Official
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Title or Position | CEO
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Name | MELISSA MORGAN
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Credential |
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Telephone | 832-864-3606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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 #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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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 |
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