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General NPI Number Information
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NPI Number | 1568843472
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Entity Type | Organization
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Legal Business Name | FRONTLINE RECOVERY AND CONSULTING NORTH, INC
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 505 N SAM HOUSTON PKWY E STE 140
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City | HOUSTON
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State | TX
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Zip | 77060-4018
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Country | US
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Telephone | 281-741-0350
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Fax | 832-598-2980
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Provider Business Mailing Address
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Address Line | 505 N SAM HOUSTON PKWY E STE 140
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City | HOUSTON
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State | TX
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Zip | 77060-4018
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Country | US
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Telephone | 281-741-0350
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Fax | 832-598-2980
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Authorized Official
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Title or Position | CEO
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Name | MR. ANTHONY SUEING SR.
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Credential | N/A
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Telephone | 281-989-9419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | F0011543
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License Number State | TX
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