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General NPI Number Information
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NPI Number | 1013739747
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Entity Type | Organization
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Legal Business Name | INSIGHT PAIN SPECIALISTS LLC
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 1525 N ROLLING RD
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City | CATONSVILLE
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State | MD
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Zip | 21228-1100
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Country | US
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Telephone | 410-402-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 8164 TROTTERS CHASE
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-7594
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Country | US
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Telephone | 410-870-9167
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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. THOMAS MINH PHAN
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Credential | MD
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Telephone | 410-870-9167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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