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General NPI Number Information
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NPI Number | 1588292791
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Entity Type | Organization
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Legal Business Name | SPINEPLUS HEALTHCARE LLC
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 04/01/2020
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Provider Practice Location Address
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Address Line | 2918 SAN JACINTO ST STE 150
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City | HOUSTON
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State | TX
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Zip | 77004-2708
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Country | US
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Telephone | 713-673-8292
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Fax | 713-234-6738
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Provider Business Mailing Address
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Address Line | 4031 FM 1463 RD STE 150
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City | KATY
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State | TX
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Zip | 77494-5963
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Country | US
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Telephone | 713-298-8173
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Fax | 713-234-6738
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Authorized Official
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Title or Position | CEO
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Name | RAYMOND TORRES
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Credential |
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Telephone | 713-298-8173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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