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General NPI Number Information
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NPI Number | 1770728651
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Entity Type | Organization
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Legal Business Name | BACK CARE ASSOCIATES, INC.
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 12/08/2008
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Provider Practice Location Address
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Address Line | 17313 EL CAMINO REAL
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City | HOUSTON
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State | TX
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Zip | 77058-2718
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Country | US
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Telephone | 281-486-7044
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 58713
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City | WEBSTER
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State | TX
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Zip | 77598-8713
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Country | US
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Telephone | 281-486-7044
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID L KINGCAID
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Credential | D.C.
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Telephone | 281-486-7044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 7018
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License Number State | TX
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