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General NPI Number Information
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NPI Number | 1134268857
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Entity Type | Organization
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Legal Business Name | PAIN MANAGEMENT ASSOCIATES USA
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 328 E LINCOLN HWY SUITE E
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City | NEW LENOX
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State | IL
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Zip | 60451-1849
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Country | US
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Telephone | 815-462-8602
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Fax | 815-462-8471
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Provider Business Mailing Address
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Address Line | 328 E LINCOLN HWY SUITE E
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City | NEW LENOX
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State | IL
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Zip | 60451-1849
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Country | US
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Telephone | 815-462-8602
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Fax | 815-462-8471
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. PAMELA J BORVAN
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Credential | BSN
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Telephone | 815-462-8602
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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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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | IL
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Taxonomy #3
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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 | IL
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