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General NPI Number Information
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NPI Number | 1366496747
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Entity Type | Organization
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Legal Business Name | SARASOTA PAIN MEDICINE PLLC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 5880 RAND BLVD STE 215
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City | SARASOTA
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State | FL
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Zip | 34238
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Country | US
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Telephone | 941-917-6610
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Fax | 941-917-6218
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Provider Business Mailing Address
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Address Line | 5880 RAND BLVD STE 215
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City | SARASOTA
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State | FL
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Zip | 34238
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Country | US
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Telephone | 941-917-6610
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Fax | 941-917-6218
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DONALD LOUIS ERB
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Credential | DO
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Telephone | 941-917-6610
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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 | OS 7114
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License Number State | FL
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