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General NPI Number Information
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NPI Number | 1114193927
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Entity Type | Organization
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Legal Business Name | THE PAIN AND SPINE INSTITUTE, INC
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 1100 S MAIN ST
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City | BELLE GLADE
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State | FL
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Zip | 33430-4910
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Country | US
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Telephone | 561-996-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 S MAIN ST
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City | BELLE GLADE
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State | FL
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Zip | 33430-4910
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Country | US
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Telephone | 561-996-4242
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DANNELL BOSSERMAN ANSCHUETZ
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Credential | D.O.
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Telephone | 561-996-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 8932
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License Number State | FL
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