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General NPI Number Information
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NPI Number | 1316307861
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Entity Type | Organization
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Legal Business Name | PAIN MANAGEMENT CENTER OF MICHIGAN PLC
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Dates
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Enumeration Date | 02/25/2016
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 2500 NORTH RD STE 101
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City | FENTON
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State | MI
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Zip | 48430-2668
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Country | US
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Telephone | 810-616-7246
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Fax | 855-709-6655
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Provider Business Mailing Address
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Address Line | 2500 NORTH RD STE 101
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City | FENTON
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State | MI
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Zip | 48430-2668
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Country | US
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Telephone | 810-616-7246
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Fax | 855-709-6655
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. ZACHARY KING
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Credential | MD
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Telephone | 517-927-9262
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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 | 4301098958
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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