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General NPI Number Information
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NPI Number | 1649923228
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Entity Type | Organization
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Legal Business Name | TEXAS INTERVENTIONAL JOINT AND SPINE, PLLC
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 7704 SAN JACINTO PL STE 200
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City | PLANO
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State | TX
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Zip | 75024-3201
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Country | US
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Telephone | 469-945-7966
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Fax | 972-695-3075
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Provider Business Mailing Address
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Address Line | 7704 SAN JACINTO PL STE 200
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City | PLANO
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State | TX
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Zip | 75024-3201
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Country | US
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Telephone | 469-945-7966
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Fax | 972-695-3075
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT JOHN NOCERINI
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Credential | MD
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Telephone | 925-389-0790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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