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General NPI Number Information
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NPI Number | 1700370806
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Entity Type | Organization
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Legal Business Name | SPINE & JOINT PRO MEDICAL CENTERS PLLC
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 17200 STATE HIGHWAY 249
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City | HOUSTON
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State | TX
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Zip | 77064-1184
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Country | US
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Telephone | 281-890-2300
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Fax | 281-890-2301
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Provider Business Mailing Address
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Address Line | 17200 STATE HIGHWAY 249
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City | HOUSTON
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State | TX
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Zip | 77064-1184
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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 | PRESIDENT
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Name | BART B KEY
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Credential |
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Telephone | 281-890-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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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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