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General NPI Number Information
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NPI Number | 1013332642
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Entity Type | Organization
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Legal Business Name | UMA PAIN & SPINE CLINIC, PLLC
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 230 N WINSTEAD AVE
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-2225
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Country | US
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Telephone | 252-801-9998
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Fax | 252-210-3482
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Provider Business Mailing Address
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Address Line | 230 N WINSTEAD AVE
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-2225
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Country | US
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Telephone | 252-801-9998
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Fax | 252-210-3482
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Authorized Official
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Title or Position | OWNER
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Name | DR. DIVYA J PATEL
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Credential | M.D.
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Telephone | 252-801-9998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 200401300
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License Number State | NC
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