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General NPI Number Information
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NPI Number | 1699980250
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Entity Type | Organization
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Legal Business Name | COPPELL SPINE & SPORTS REHAB LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 03/10/2010
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Provider Practice Location Address
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Address Line | 2445 W OAK ST SUITE 200
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City | DENTON
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State | TX
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Zip | 76201-4325
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Country | US
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Telephone | 940-320-6030
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Fax | 940-320-3113
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Provider Business Mailing Address
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Address Line | 413 W BETHEL RD SUITE 400
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City | COPPELL
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State | TX
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Zip | 75019-4473
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP, AUTHORIZED OFFICIAL
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Name | CHRISTOPHER D CORRIGAN
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Credential | JD
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Telephone | 713-297-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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