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General NPI Number Information
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NPI Number | 1699055947
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Entity Type | Organization
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Legal Business Name | SELECT SPINE & WELLNESS CENTER
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Dates
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Enumeration Date | 08/18/2011
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Last Update Date | 08/18/2011
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Provider Practice Location Address
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Address Line | 4500 HILLCREST RD SUITE 145
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City | FRISCO
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State | TX
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Zip | 75035-5418
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Country | US
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Telephone | 972-483-0340
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Fax | 975-233-5145
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Provider Business Mailing Address
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Address Line | 4500 HILLCREST RD SUITE 145
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City | FRISCO
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State | TX
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Zip | 75035-5418
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Country | US
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Telephone | 972-483-0340
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Fax | 975-233-5145
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER PLATE
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Credential | D.O.
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Telephone | 972-483-0340
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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 | 8472
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License Number State | TX
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