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General NPI Number Information
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NPI Number | 1114608411
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Entity Type | Organization
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Legal Business Name | ELITE PAIN PARTNERS, PLLC
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 26865 INTERSTATE 45 STE 300
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City | THE WOODLANDS
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State | TX
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Zip | 77380-4046
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Country | US
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Telephone | 346-646-3100
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Fax | 832-871-4592
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Provider Business Mailing Address
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Address Line | 26865 INTERSTATE 45 STE 300
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City | THE WOODLANDS
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State | TX
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Zip | 77380-4046
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Country | US
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Telephone | 346-646-3100
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Fax | 832-871-4592
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Authorized Official
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Title or Position | CO-OWNER
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Name | ROBERT ALAN MOORE
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Credential | MD
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Telephone | 346-646-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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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 | 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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Taxonomy #4
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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 #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #8
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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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