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General NPI Number Information
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NPI Number | 1205224300
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Entity Type | Organization
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Legal Business Name | PHYSICAL MEDICINE ASSOCIATES, LTD
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Dates
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Enumeration Date | 12/26/2014
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 1741 WILLIAMSPORT PIKE
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City | MARTINSBURG
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State | WV
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Zip | 25404-4341
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Country | US
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Telephone | 304-569-2378
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Fax | 304-596-2388
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Provider Business Mailing Address
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Address Line | PO BOX 931656
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City | ATLANTA
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State | GA
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Zip | 31193-1656
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Country | US
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Telephone | 855-836-7246
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAYO F FRIEDLIS
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Credential | M.D.
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Telephone | 703-914-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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