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NPI 1346408838

NPI 1346408838 : CENTER FOR PAIN RELIEF INC. : CHARLESTON, WV

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General NPI Number Information
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    NPI Number           |    1346408838
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTER FOR PAIN RELIEF INC. 
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Dates
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    Enumeration Date     |    05/30/2008
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    Last Update Date     |    10/14/2025
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Provider Practice Location Address
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    Address Line         |    100 PEYTON WAY STE 100 
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    City                 |    CHARLESTON
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    State                |    WV
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    Zip                  |    25309-8545
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    Country              |    US
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    Telephone            |    304-720-6747
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    Fax                  |    304-720-6749
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Provider Business Mailing Address
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    Address Line         |    400 COURT ST STE 100 
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    City                 |    CHARLESTON
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    State                |    WV
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    Zip                  |    25301-1652
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    Country              |    US
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    Telephone            |    304-347-6120
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    Fax                  |    304-347-6126
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Authorized Official
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    Title or Position    |    MD, OWNER, PRESIDENT & CEO
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    Name                 |     TIMOTHY RAY DEER 
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    Credential           |    MD
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    Telephone            |    304-347-6120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    17647
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    License Number State |    WV
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208VP0014X
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    Taxonomy Name        |    Interventional Pain Medicine Physician
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    License Number       |    17647
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    License Number State |    WV
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Taxonomy #4
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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       |    17647
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    License Number State |    WV
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Taxonomy #5
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    17647
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    License Number State |    WV
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