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General NPI Number Information
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NPI Number | 1053779066
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Entity Type | Organization
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Legal Business Name | CHEROKEE PAIN MANAGEMENT LLC
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 395 NORTHWOOD DR STE A
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City | CENTRE
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State | AL
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Zip | 35960-1033
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Country | US
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Telephone | 205-999-5419
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Fax |
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Provider Business Mailing Address
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Address Line | 3513 WYNWOOD DR
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City | BIRMINGHAM
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State | AL
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Zip | 35210-3013
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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 | OWNER
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Name | DENNIS D DOBLAR
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Credential | MD
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Telephone | 205-999-5419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD.15445
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License Number State | AL
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