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General NPI Number Information
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NPI Number | 1417667833
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Entity Type | Organization
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Legal Business Name | ADVANCED PAIN THERAPY
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 401 S LE JEUNE RD STE 300
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City | CORAL GABLES
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State | FL
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Zip | 33134-1938
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Country | US
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Telephone | 316-371-3391
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Fax |
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Provider Business Mailing Address
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Address Line | 401 S LE JEUNE RD STE 300
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City | CORAL GABLES
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State | FL
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Zip | 33134-1938
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Country | US
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Telephone | 316-371-3391
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TRISTAN STEINBERGER
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Credential | MD, MBA
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Telephone | 316-371-3391
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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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