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General NPI Number Information
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NPI Number | 1275096174
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Entity Type | Organization
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Legal Business Name | GLOBAL PAIN CENTERS
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 8055 RITCHIE HWY STE 103
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City | PASADENA
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State | MD
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Zip | 21122-1074
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Country | US
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Telephone | 443-825-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 8055 RITCHIE HWY STE 101
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City | PASADENA
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State | MD
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Zip | 21122-1067
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Country | US
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Telephone | 443-825-4050
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HADDITOUTU OGUNSOLA
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Credential | MD
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Telephone | 443-825-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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