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General NPI Number Information
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NPI Number | 1184892234
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Entity Type | Organization
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Legal Business Name | ADVANCED PAIN MANAGEMENT OF CENTRAL INDIANA, PC
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 08/29/2014
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Provider Practice Location Address
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Address Line | 10412 ALLISONVILLE RD SUITE 100
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City | FISHERS
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State | IN
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Zip | 46038-2052
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Country | US
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Telephone | 317-572-2240
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Fax | 317-572-2235
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Provider Business Mailing Address
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Address Line | PO BOX 3052
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-3052
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Country | US
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Telephone | 317-614-9850
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Fax | 800-731-0751
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | RANDALL J FRANIAK
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Credential | MD
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Telephone | 317-572-2240
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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 | 5004994A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 50004994A
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License Number State | IN
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