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General NPI Number Information
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NPI Number | 1114870649
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Entity Type | Organization
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Legal Business Name | SEVA PAIN AND WELLNESS
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 353 E LA ENTRADA
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City | CORRALES
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State | NM
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Zip | 87048-7647
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Country | US
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Telephone | 505-431-2501
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Fax | 505-431-2502
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Provider Business Mailing Address
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Address Line | PO BOX 293854
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City | LEWISVILLE
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State | TX
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Zip | 75029-3854
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Country | US
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Telephone | 918-935-3240
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Fax | 918-935-3241
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Authorized Official
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Title or Position | OWNER
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Name | AMIT MIRCHANDANI
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Credential | MD
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Telephone | 901-289-4227
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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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