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General NPI Number Information
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NPI Number | 1154555720
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Entity Type | Organization
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Legal Business Name | TOTAL PAIN SOLUTIONS
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 05/11/2009
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Provider Practice Location Address
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Address Line | 6000 S EASTERN AVE BLDG I
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City | LAS VEGAS
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State | NV
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Zip | 89119-3125
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Country | US
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Telephone | 205-608-4995
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Fax | 702-974-2090
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Provider Business Mailing Address
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Address Line | PO BOX 1829
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City | GARDENDALE
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State | AL
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Zip | 35071-1909
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Country | US
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Telephone | 877-608-4995
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Fax | 877-608-2718
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Authorized Official
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Title or Position | COO
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Name | MR. BRION BOWMAN
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Credential |
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Telephone | 205-608-4995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH02514
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License Number State | NV
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