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General NPI Number Information
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NPI Number | 1275019101
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Entity Type | Organization
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Legal Business Name | EUFAULA PAIN MANAGEMENT
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Dates
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Enumeration Date | 07/13/2018
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Last Update Date | 07/13/2018
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Provider Practice Location Address
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Address Line | 223 N MAIN ST
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City | EUFAULA
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State | OK
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Zip | 74432-1632
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Country | US
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Telephone | 918-533-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 223 N MAIN ST
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City | EUFAULA
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State | OK
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Zip | 74432-1632
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARRETT NEWTON
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Credential | D.C.
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Telephone | 918-851-1818
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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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