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General NPI Number Information
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NPI Number | 1417509043
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Entity Type | Organization
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Legal Business Name | ALLAY SPINE AND PAIN MANAGEMENT PLLC
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Dates
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Enumeration Date | 07/13/2019
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 3725 S LAKE FOREST DR STE 114
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City | MCKINNEY
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State | TX
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Zip | 75070-1689
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Country | US
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Telephone | 469-545-1082
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Fax | 469-545-1083
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Provider Business Mailing Address
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Address Line | 3725 S LAKE FOREST DR STE 114
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City | MCKINNEY
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State | TX
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Zip | 75070-1689
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Country | US
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Telephone | 469-545-1082
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Fax | 469-545-1083
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Authorized Official
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Title or Position | SOLE MEMBER/MANAGER
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Name | DR. DOUGLAS S MAXEY
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Credential | MD
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Telephone | 469-545-1082
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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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