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General NPI Number Information
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NPI Number | 1891674313
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Entity Type | Organization
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Legal Business Name | PLANO SPINE AND JOINT INC
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 850 CENTRAL PKWY E STE 245
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City | PLANO
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State | TX
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Zip | 75074-5592
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Country | US
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Telephone | 214-228-5149
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Fax |
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Provider Business Mailing Address
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Address Line | 1237 GRAYHAWK DR
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City | FORNEY
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State | TX
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Zip | 75126-7743
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Country | US
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Telephone | 469-713-4664
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. ANGELICA ADRIANNA GUZMAN
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Credential |
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Telephone | 469-713-4664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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