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General NPI Number Information
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NPI Number | 1215596135
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Entity Type | Organization
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Legal Business Name | PAIN MANAGEMENT PLUS PLLC
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 249 OAK ST
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City | FOREST CITY
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State | NC
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Zip | 28043-3585
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Country | US
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Telephone | 980-279-5801
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Fax | 828-919-2394
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Provider Business Mailing Address
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Address Line | PO BOX 1641
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City | BRYSON CITY
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State | NC
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Zip | 28713-1641
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Country | US
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Telephone | 980-279-5801
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Fax | 828-538-4441
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Authorized Official
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Title or Position | OWNER
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Name | DONNA LYNN HEWITT
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Credential | NP
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Telephone | 828-919-2393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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