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General NPI Number Information
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NPI Number | 1083557243
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Entity Type | Organization
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Legal Business Name | PRESSCOTT PAIN CENTER LLC
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 8200 E JACQUE DR
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-6172
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Country | US
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Telephone | 928-277-8715
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Fax |
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Provider Business Mailing Address
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Address Line | 1590 WILLOW CREEK RD
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City | PRESCOTT
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State | AZ
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Zip | 86301-1164
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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 | MEMBER
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Name | BENJAMIN WOJCIAK
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Credential |
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Telephone | 928-699-1246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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