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General NPI Number Information
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NPI Number | 1164047486
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Entity Type | Organization
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Legal Business Name | NERVE AND PAIN INSTITUTE LLC
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Dates
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Enumeration Date | 06/12/2020
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Last Update Date | 07/22/2021
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Provider Practice Location Address
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Address Line | 11930 SW GREENBURG RD
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City | TIGARD
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State | OR
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Zip | 97223-6453
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Country | US
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Telephone | 503-987-3707
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Fax | 503-987-3001
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Provider Business Mailing Address
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Address Line | 11930 SW GREENBURG RD
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City | TIGARD
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State | OR
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Zip | 97223-6453
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Country | US
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Telephone | 503-987-3707
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Fax | 503-987-3001
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KWO WEI DAVID HO
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Credential | MD, PHD
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Telephone | 503-987-3707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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