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General NPI Number Information
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NPI Number | 1083709604
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Entity Type | Organization
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Legal Business Name | ADVANCED PAIN MANAGEMENT & ANESTHESIOLOGY, PC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/27/2009
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Provider Practice Location Address
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Address Line | 504 E. 86TH AVE
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6213
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Country | US
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Telephone | 219-769-7246
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Fax | 219-769-7217
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Provider Business Mailing Address
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Address Line | 504 E 86TH AVE
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6213
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Country | US
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Telephone | 219-769-7246
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Fax | 219-769-7217
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Authorized Official
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Title or Position | OWNER
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Name | BEHZAD AALAEI
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Credential | M.D.
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Telephone | 219-769-7246
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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 |
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License Number State |
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