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General NPI Number Information
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NPI Number | 1306601422
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Entity Type | Organization
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Legal Business Name | ADVANCED PAIN MANAGEMENT SOLUTIONS
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 20 E MELBOURNE AVE STE 102
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City | MELBOURNE
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State | FL
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Zip | 32901-5970
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Country | US
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Telephone | 877-377-6547
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Fax | 561-941-4041
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Provider Business Mailing Address
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Address Line | 20 E MELBOURNE AVE STE 102
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City | MELBOURNE
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State | FL
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Zip | 32901-5970
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Country | US
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Telephone | 877-377-6547
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Fax | 561-941-4041
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Authorized Official
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Title or Position | OWNER
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Name | REGINA LUWANDA MORRIS SOLIS
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Credential | M.D.
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Telephone | 954-257-0056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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