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General NPI Number Information
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NPI Number | 1275601049
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Entity Type | Organization
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Legal Business Name | PAIN CARE PSC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 2201 LEXINGTON AVE SUITE 8 B
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City | ASHLAND
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State | KY
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Zip | 41101-2843
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Country | US
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Telephone | 606-408-5190
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Fax | 606-408-6693
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Provider Business Mailing Address
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Address Line | PO BOX 1109
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City | ASHLAND
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State | KY
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Zip | 41105-1109
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Country | US
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Telephone | 606-408-5190
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Fax | 606-408-6693
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEON B. BRIGGS
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Credential | M.D.
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Telephone | 606-408-5190
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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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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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