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General NPI Number Information
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NPI Number | 1356587885
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Entity Type | Organization
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Legal Business Name | INTERVENTIONAL PAIN CONSULTANTS, LLC
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Dates
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Enumeration Date | 01/06/2009
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Last Update Date | 01/06/2009
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Provider Practice Location Address
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Address Line | 820 TOWN CENTER DR
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City | LANGHORNE
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State | PA
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Zip | 19047-1785
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Country | US
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Telephone | 267-212-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1536 AIDENN LAIR RD
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City | MAPLE GLEN
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State | PA
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Zip | 19002-3231
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Country | US
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Telephone | 201-804-2800
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Fax | 201-804-8883
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MR. PHILIP J. SASSO
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Credential | MD
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Telephone | 267-212-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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