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NPI 1619845799

NPI 1619845799 : PRECISION SPINE & SPORT LLC : COPPELL, TX

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General NPI Number Information
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    NPI Number           |    1619845799
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRECISION SPINE & SPORT LLC 
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Dates
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    Enumeration Date     |    10/29/2025
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    Last Update Date     |    10/29/2025
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Provider Practice Location Address
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    Address Line         |    1707 E BELT LINE RD STE 103 
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    City                 |    COPPELL
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    State                |    TX
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    Zip                  |    75019-9600
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    Country              |    US
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    Telephone            |    214-222-5948
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    Fax                  |    214-513-0460
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Provider Business Mailing Address
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    Address Line         |    1707 E BELT LINE RD STE 103 
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    City                 |    COPPELL
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    State                |    TX
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    Zip                  |    75019-9600
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    Country              |    US
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    Telephone            |    214-222-5948
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    Fax                  |    214-513-0460
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Authorized Official
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    Title or Position    |    OWNER/CEO
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    Name                 |    DR. TREVOR WOODSON INMAN 
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    Credential           |    DC
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    Telephone            |    214-549-6561
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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       |    
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    License Number State |    
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