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General NPI Number Information
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NPI Number | 1215732284
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Entity Type | Organization
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Legal Business Name | PAIN RELIEF SOLUTIONS, LLC
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 2933 W CYPRESS CREEK RD STE 101
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1760
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Country | US
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Telephone | 954-458-1199
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Fax | 877-224-9802
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Provider Business Mailing Address
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Address Line | 1500 N UNIVERSITY DR STE 101
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6071
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Country | US
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Telephone | 954-458-1199
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPS
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Name | DAVID KAIEL
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Credential |
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Telephone | 954-458-1199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional 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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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