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General NPI Number Information
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NPI Number | 1447671672
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Entity Type | Organization
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Legal Business Name | PAIN & REHABILITATION CONSULTANTS
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Dates
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Enumeration Date | 12/13/2013
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 44 HUGHES RD. SUITE 2500
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City | MADISON
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State | AL
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Zip | 35758
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Country | US
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Telephone | 256-464-7855
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Fax | 855-301-8314
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Provider Business Mailing Address
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Address Line | 44 HUGHES RD. SUITE 2500
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City | MADISON
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State | AL
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Zip | 35758
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Country | US
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Telephone | 256-464-7855
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Fax | 855-301-8314
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Authorized Official
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Title or Position | CEO/OWNER
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Name | NORMAN EUGENE MCCOOMER
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Credential | M.D
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Telephone | 256-464-7855
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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 | 290006
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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