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General NPI Number Information
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NPI Number | 1750020921
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Entity Type | Organization
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Legal Business Name | MISPINE & JOINT CARE PLLC
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 1970 W UNIVERSITY DR STE 210
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City | PROSPER
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State | TX
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Zip | 75078-8134
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Country | US
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Telephone | 469-757-7623
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Fax | 459-757-7613
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Provider Business Mailing Address
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Address Line | 11625 CUSTER RD STE 110-825
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City | FRISCO
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State | TX
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Zip | 75035-8783
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Country | US
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Telephone | 469-757-7623
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Fax | 469-757-7613
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Authorized Official
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Title or Position | OWNER
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Name | ANISH MIRCHANDANI
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Credential | MD
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Telephone | 469-757-7623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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