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General NPI Number Information
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NPI Number | 1730191032
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Entity Type | Organization
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Legal Business Name | SPINE INJURY CLINICS
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 6853 COIT RD STE 200
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City | PLANO
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State | TX
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Zip | 75024-5466
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Country | US
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Telephone | 972-208-0101
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Fax | 972-208-0100
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Provider Business Mailing Address
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Address Line | 6853 COIT RD STE 200
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City | PLANO
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State | TX
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Zip | 75024-5466
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Country | US
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Telephone | 972-208-0101
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Fax | 972-208-0100
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW A SKOLNIK
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Credential | DC
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Telephone | 972-208-0101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8744
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License Number State | TX
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