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General NPI Number Information
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NPI Number | 1023844420
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE PAIN SPECIALISTS
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 8841 E BELL RD STE 103
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1591
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Country | US
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Telephone | 602-800-9380
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Fax |
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Provider Business Mailing Address
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Address Line | 16620 N 40TH ST STE D1
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City | PHOENIX
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State | AZ
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Zip | 85032-3350
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Country | US
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Telephone | 602-570-9380
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARTHA HERNANDEZ
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Credential |
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Telephone | 602-570-9380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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