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General NPI Number Information
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NPI Number | 1205347788
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Entity Type | Organization
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Legal Business Name | ADVANCED PAIN RELIEF THERAPIES, INC.
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 10/23/2017
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Provider Practice Location Address
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Address Line | 127 ROUTE 302
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City | PINE BUSH
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State | NY
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Zip | 12566-7129
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Country | US
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Telephone | 239-272-4365
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Fax |
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Provider Business Mailing Address
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Address Line | 10100 REGENT CIR
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City | NAPLES
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State | FL
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Zip | 34109-1564
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Country | US
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Telephone | 239-272-4365
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD A. CARLETON
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Credential |
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Telephone | 239-272-4365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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