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General NPI Number Information
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NPI Number | 1306942958
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Entity Type | Organization
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Legal Business Name | PACE MANAGEMENT, INC.
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3800 E LOHMAN AVE SUITE A
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City | LAS CRUCES
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State | NM
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Zip | 88011-8273
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Country | US
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Telephone | 505-522-6500
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Fax | 505-522-0591
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Provider Business Mailing Address
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Address Line | 3800 E LOHMAN AVE SUITE A
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City | LAS CRUCES
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State | NM
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Zip | 88011-8273
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Country | US
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Telephone | 505-522-6500
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Fax | 505-522-0591
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDDIE L GAINES
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Credential | MD
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Telephone | 505-522-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 94250
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License Number State | NM
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