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General NPI Number Information
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NPI Number | 1144527755
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Entity Type | Organization
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Legal Business Name | PAIN AND PALLIATIVE CARE ASSOCIATES
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Dates
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Enumeration Date | 02/16/2011
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Last Update Date | 05/25/2011
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Provider Practice Location Address
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Address Line | 826 MAIN ST STE 203
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-4459
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Country | US
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Telephone | 610-481-0225
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Fax |
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Provider Business Mailing Address
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Address Line | 826 MAIN ST STE 203
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-4459
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Country | US
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Telephone | 610-481-0225
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADAM R BURKEY
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Credential | MD
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Telephone | 610-983-1545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | MD418943
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | MD418943
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License Number State | PA
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