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General NPI Number Information
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NPI Number | 1194537910
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Entity Type | Organization
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Legal Business Name | PROHEALTH PAIN MANAGEMENT, INC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 8181 E TUFTS AVE STE 510
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City | DENVER
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State | CO
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Zip | 80237-2580
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Country | US
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Telephone | 866-782-8393
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Fax |
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Provider Business Mailing Address
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Address Line | 8181 E TUFTS AVE STE 510
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City | DENVER
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State | CO
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Zip | 80237-2580
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Country | US
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Telephone | 866-782-8393
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PRADEEP R RAI
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Credential | MD
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Telephone | 866-782-8393
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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