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General NPI Number Information
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NPI Number | 1790961332
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Entity Type | Organization
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Legal Business Name | THE SPINE AND JOINT CLINIC, PA
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 7826 SHADY VILLA CV
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City | HOUSTON
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State | TX
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Zip | 77055-5244
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Country | US
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Telephone | 832-372-9890
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Fax |
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Provider Business Mailing Address
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Address Line | 6776 SOUTHWEST FWY STE 310
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City | HOUSTON
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State | TX
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Zip | 77074-2111
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Country | US
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Telephone | 832-372-9890
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. NIMISH PATEL J
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Credential | DC
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Telephone | 832-372-9890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6893
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License Number State | TX
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