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General NPI Number Information
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NPI Number | 1063715746
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Entity Type | Organization
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Legal Business Name | PAINSTOP SPINE CLINIC, LLC
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Dates
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Enumeration Date | 12/17/2010
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 180 DEBUYS RD
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City | BILOXI
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State | MS
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Zip | 39531-4402
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Country | US
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Telephone | 228-273-4096
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Fax | 228-594-1765
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Provider Business Mailing Address
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Address Line | PO BOX 4594
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City | BILOXI
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State | MS
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Zip | 39535-4594
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Country | US
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Telephone | 228-273-4096
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Fax | 228-594-1765
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MRS. STACEY M TSANG
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Credential |
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Telephone | 626-512-6348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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