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General NPI Number Information
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NPI Number | 1366120289
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Entity Type | Organization
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Legal Business Name | PAIN FREE AMERICA LLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 642 S MAIN ST
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City | CLAWSON
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State | MI
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Zip | 48017-2016
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Country | US
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Telephone | 248-343-8487
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Fax |
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Provider Business Mailing Address
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Address Line | 155 STARK RD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-3868
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Country | US
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Telephone | 248-343-8487
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | GARY P KOCHIS II
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Credential |
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Telephone | 248-343-8487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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