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General NPI Number Information
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NPI Number | 1457387078
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Entity Type | Organization
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Legal Business Name | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 08/08/2014
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Provider Practice Location Address
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Address Line | 11456 BROADWAY
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City | CROWN POINT
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State | IN
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Zip | 46307-7106
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Country | US
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Telephone | 219-488-0176
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Fax | 219-661-1408
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Provider Business Mailing Address
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Address Line | 11456 BROADWAY
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City | CROWN POINT
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State | IN
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Zip | 46307-7106
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Country | US
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Telephone | 219-488-0156
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Fax | 219-661-1408
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Authorized Official
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Title or Position | CEO
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Name | MR. FAISAL M. RAHMAN
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Credential | PH.D.
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Telephone | 219-488-0176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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