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General NPI Number Information
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NPI Number | 1588165179
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE SPINE AND JOINT ASSOCIATES LLC
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 03/04/2018
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Provider Practice Location Address
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Address Line | 7505 FANNIN ST 350
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City | HOUSTON
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State | TX
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Zip | 77054-1954
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Country | US
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Telephone | 832-647-5284
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Fax | 713-456-2416
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Provider Business Mailing Address
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Address Line | 7505 FANNIN ST STE 350
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City | HOUSTON
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State | TX
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Zip | 77054-1954
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Country | US
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Telephone | 832-647-5284
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Fax | 713-456-2416
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. ELDOR BRISH
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Credential | MD
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Telephone | 832-647-5284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | N5593
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License Number State | TX
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