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General NPI Number Information
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NPI Number | 1013803147
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Entity Type | Organization
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Legal Business Name | PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1650 W BAKER RD STE A
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City | BAYTOWN
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State | TX
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Zip | 77521-2284
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Country | US
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Telephone | 346-217-1111
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Fax | 346-571-2189
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Provider Business Mailing Address
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Address Line | PO BOX 649834
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City | DALLAS
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State | TX
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Zip | 75264-9834
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Country | US
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Telephone | 346-308-6741
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Fax | 346-571-2189
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Authorized Official
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Title or Position | LEAD FINANCIAL REPRESENTATIVE
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Name | HEATHER ROSE FEILER
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Credential | CPC
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Telephone | 346-308-6741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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