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General NPI Number Information
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NPI Number | 1437497070
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Entity Type | Organization
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Legal Business Name | PAIN CARE, INC.
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Dates
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Enumeration Date | 01/16/2013
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 7500 212TH ST SW STE 212
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City | EDMONDS
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State | WA
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Zip | 98026-7618
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Country | US
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Telephone | 425-744-6022
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 212TH ST SW STE 212
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City | EDMONDS
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State | WA
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Zip | 98026-7618
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Country | US
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Telephone | 425-744-6022
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TODD JOHN BAUMEISTER
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Credential | D.O.
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Telephone | 425-744-6022
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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 | OP00001058
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | OP00001058
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License Number State | WA
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