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General NPI Number Information
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NPI Number | 1427554880
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Entity Type | Organization
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Legal Business Name | PAIN INSTITUTE OF LAREDO
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Dates
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Enumeration Date | 04/04/2018
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Last Update Date | 10/09/2018
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Provider Practice Location Address
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Address Line | 5401 MCPHERSON RD STE 9
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City | LAREDO
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State | TX
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Zip | 78041
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Country | US
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Telephone | 956-704-5157
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Fax | 956-704-5162
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Provider Business Mailing Address
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Address Line | 5401 MCPHERSON RD STE 9
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City | LAREDO
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State | TX
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Zip | 78041-6834
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Country | US
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Telephone | 956-704-5157
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Fax | 956-704-5162
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL A HOCHMAN
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Credential | MD
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Telephone | 956-568-1846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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