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General NPI Number Information
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NPI Number | 1043515752
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Entity Type | Organization
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Legal Business Name | PAIN CONSULTANTS OF CENTRAL KENTUCKY, PLLC
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 1760 NICHOLASVILLE RD STE 301
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City | LEXINGTON
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State | KY
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Zip | 40503-1471
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Country | US
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Telephone | 859-276-0206
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Fax |
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Provider Business Mailing Address
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Address Line | 804 SCOTT NIXON MEMORIAL DR
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City | AUGUSTA
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State | GA
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Zip | 30907-2464
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Country | US
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Telephone | 706-650-0705
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Fax | 706-650-1034
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER R SWAYZE
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Credential | MD
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Telephone | 859-536-0309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 29101
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License Number State | KY
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