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General NPI Number Information
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NPI Number | 1366806655
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Entity Type | Organization
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Legal Business Name | CHEROKEE PAIN MANAGEMENT, LLC
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 819A W MAIN ST
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City | CENTRE
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State | AL
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Zip | 35960-1235
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Country | US
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Telephone | 256-203-5360
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Fax | 256-642-7490
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Provider Business Mailing Address
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Address Line | PO BOX 86
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City | CENTRE
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State | AL
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Zip | 35960-0086
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Country | US
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Telephone | 256-203-5360
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Fax | 256-642-7490
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DENNIS D DOBLAR
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Credential | MD
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Telephone | 256-203-5360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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