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General NPI Number Information
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NPI Number | 1427717982
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Entity Type | Organization
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Legal Business Name | GOLDEN CRESCENT PAIN MANAGEMENT PLLC
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 2550 N ESPLANADE ST
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City | CUERO
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State | TX
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Zip | 77954-4736
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Country | US
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Telephone | 361-275-0533
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Fax | 361-275-0551
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Provider Business Mailing Address
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Address Line | PO BOX 661495
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City | BIRMINGHAM
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State | AL
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Zip | 35266-1495
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Country | US
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Telephone | 205-979-5882
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Fax | 205-979-1248
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW A ARMONDO
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Credential |
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Telephone | 210-643-7780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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