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General NPI Number Information
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NPI Number | 1558311746
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Entity Type | Organization
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Legal Business Name | SWEETWATER SPINE CLINIC, P.A.
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1408 HAILEY ST
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City | SWEETWATER
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State | TX
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Zip | 79556-2508
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Country | US
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Telephone | 325-235-9355
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Fax | 325-235-1011
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Provider Business Mailing Address
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Address Line | 1408 HAILEY ST
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City | SWEETWATER
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State | TX
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Zip | 79556-2508
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Country | US
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Telephone | 325-235-9355
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Fax | 325-235-1011
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID R KING
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Credential | DC
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Telephone | 325-235-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9805
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License Number State | TX
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