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General NPI Number Information
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NPI Number | 1396905816
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Entity Type | Organization
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Legal Business Name | ROYAL PAIN CENTER PC
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 02/28/2013
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Provider Practice Location Address
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Address Line | 2922 PROFESSIONAL PKWY STE A
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City | AUGUSTA
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State | GA
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Zip | 30907-6532
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Country | US
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Telephone | 706-855-2767
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Fax | 706-855-7077
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Provider Business Mailing Address
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Address Line | PO BOX 212959
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City | AUGUSTA
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State | GA
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Zip | 30917-2959
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Country | US
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Telephone | 706-855-2767
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Fax | 706-855-7077
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Authorized Official
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Title or Position | CEO
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Name | DR. JOHN M DOWNEY SR.
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Credential | DO
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Telephone | 706-855-2767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State | GA
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