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General NPI Number Information
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NPI Number | 1447274808
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Entity Type | Organization
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Legal Business Name | NEXSTEP INTEGRATED PAIN CARE INC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 02/28/2013
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Provider Practice Location Address
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Address Line | 12276 SAN JOSE BLVD STE 104
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City | JACKSONVILLE
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State | FL
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Zip | 32223-8629
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Country | US
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Telephone | 904-288-8311
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Fax | 904-288-8330
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Provider Business Mailing Address
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Address Line | 12276 SAN JOSE BLVD STE 104
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City | JACKSONVILLE
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State | FL
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Zip | 32223-8629
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Country | US
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Telephone | 904-288-8311
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Fax | 904-288-8330
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN B HUNT
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Credential | MD
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Telephone | 904-288-8311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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