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General NPI Number Information
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NPI Number | 1366964959
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Entity Type | Organization
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Legal Business Name | CURE PAIN MANAGEMENT, PLLC
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 222 NE PARK PLAZA DR STE 110
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City | VANCOUVER
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State | WA
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Zip | 98684-5896
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Country | US
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Telephone | 360-314-2548
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Fax |
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Provider Business Mailing Address
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Address Line | 222 NE PARK PLAZA DR STE 110
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City | VANCOUVER
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State | WA
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Zip | 98684-5896
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Country | US
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Telephone | 360-314-2548
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Fax | 360-799-4634
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JORDAN GRAYBILL
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Credential | MD
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Telephone | 360-314-2548
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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 | MD60544409
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License Number State | WA
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