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General NPI Number Information
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NPI Number | 1154016350
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Entity Type | Organization
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Legal Business Name | CENTER FOR PAIN MANAGEMENT, LLC
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Dates
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Enumeration Date | 04/05/2023
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 7470 N ORACLE RD STE 210
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City | TUCSON
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State | AZ
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Zip | 85704-4440
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Country | US
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Telephone | 520-317-5015
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Fax | 520-317-5184
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Provider Business Mailing Address
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Address Line | 4000 MERIDIAN BLVD PATTY BOU - ASC DIVISION
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City | FRANKLIN
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State | TN
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Zip | 37067
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Country | US
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Telephone | 702-271-8476
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Fax |
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Authorized Official
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Title or Position | DIRECTOR PROVIDER ENROLLMENT
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Name | KRISTINA MUSIC
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Credential |
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Telephone | 615-465-7377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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