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General NPI Number Information
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NPI Number | 1013859578
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Entity Type | Organization
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Legal Business Name | 123 INTERVENTIONAL PAIN LLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 7051 FM 1464 RD
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City | RICHMOND
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State | TX
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Zip | 77407-9542
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Country | US
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Telephone | 281-824-1885
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Fax |
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Provider Business Mailing Address
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Address Line | 41 W HIGHWAY 14 UNIT 3760
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City | SPEARFISH
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State | SD
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Zip | 57783-1148
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. NEAL KUMAR AGARWAL
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Credential | MD
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Telephone | 832-276-6088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine 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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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