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General NPI Number Information
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NPI Number | 1275536294
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Entity Type | Organization
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Legal Business Name | METROPOLITAN PAIN MANAGEMENT CONSULTANTS, INC
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 2288 AUBURN BLVD STE 106
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City | SACRAMENTO
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State | CA
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Zip | 95821-1619
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Country | US
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Telephone | 916-568-8338
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Fax | 916-925-3985
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Provider Business Mailing Address
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Address Line | 2288 AUBURN BLVD STE 106
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City | SACRAMENTO
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State | CA
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Zip | 95821-1619
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Country | US
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Telephone | 916-568-8338
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Fax | 916-925-3985
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LEE THOMAS SNOOK JR.
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Credential | M.D.
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Telephone | 916-568-8338
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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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