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General NPI Number Information
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NPI Number | 1669695748
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Entity Type | Organization
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Legal Business Name | BACK PAIN INSTITUTE OF DALLAS
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 12200 PARK CENTRAL DR STE 210
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City | DALLAS
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State | TX
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Zip | 75251-2116
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Country | US
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Telephone | 972-239-7246
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Fax | 972-239-1889
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Provider Business Mailing Address
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Address Line | 12200 PARK CENTRAL DR STE 210
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City | DALLAS
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State | TX
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Zip | 75251-2116
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Country | US
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Telephone | 972-239-7246
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Fax | 972-239-1889
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Authorized Official
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Title or Position | CLINIC REHAB DIRECTOR
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Name | DR. STEPHEN M TAYLOR
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Credential | DC
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Telephone | 972-239-7246
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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 | 5636
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 6788
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 111742
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | J0908
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License Number State | TX
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