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General NPI Number Information
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NPI Number | 1114667714
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Entity Type | Organization
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Legal Business Name | APICO PAIN MANAGEMENT, LLC
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 100 BECKS WOODS DR STE 201
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City | BEAR
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State | DE
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Zip | 19701-3835
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Country | US
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Telephone | 855-932-7426
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Fax | 833-392-7426
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Provider Business Mailing Address
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Address Line | 100 BECKS WOODS DR STE 201
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City | BEAR
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State | DE
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Zip | 19701-3835
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Country | US
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Telephone | 855-932-7426
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Fax | 833-392-7426
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RANY TALAL ABDALLAH
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Credential | MD, PHD, MBA
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Telephone | 855-932-7426
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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 | 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 #3
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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 |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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