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General NPI Number Information
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NPI Number | 1013898113
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Entity Type | Organization
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Legal Business Name | INTERVENTIONAL PAIN INSTITUTE LLC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 721 S 5TH ST
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2913
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Country | US
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Telephone | 636-933-2243
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3891
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City | CHESTERFIELD
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State | MO
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Zip | 63006-3891
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Country | US
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Telephone | 636-933-2243
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAMIS GHEITH
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Credential |
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Telephone | 636-933-2243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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