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General NPI Number Information
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NPI Number | 1366923898
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Entity Type | Organization
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Legal Business Name | PREMIER PAIN SOLUTIONS PLLC
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 155 W MILLS ST STE 204
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City | COLUMBUS
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State | NC
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Zip | 28722-9462
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Country | US
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Telephone | 828-221-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 5710 OLEANDER DR STE 201
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City | WILMINGTON
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State | NC
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Zip | 28403-4722
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Country | US
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Telephone | 833-365-7246
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Fax | 877-296-5238
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Authorized Official
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Title or Position | OWNER
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Name | JAVID MU'AZ BAKSH
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Credential |
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Telephone | 828-221-0121
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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 |
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License Number State |
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