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General NPI Number Information
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NPI Number | 1023386711
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Entity Type | Organization
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Legal Business Name | AMERICAN PAIN RELIEF, LLC
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 6464 SW BORLAND RD STE D2
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City | TUALATIN
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State | OR
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Zip | 97062-8861
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Country | US
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Telephone | 503-885-8008
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Fax | 503-885-8002
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Provider Business Mailing Address
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Address Line | 6464 SW BORLAND RD STE D2
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City | TUALATIN
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State | OR
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Zip | 97062-8861
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Country | US
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Telephone | 503-885-8008
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Fax | 503-885-8002
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | DAVID KIBEC
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Credential |
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Telephone | 503-803-7248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | OR
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