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General NPI Number Information
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NPI Number | 1487857322
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Entity Type | Organization
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Legal Business Name | PAIN MANAGEMENT CENTERS OF AMERICA, LLC
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 01/10/2014
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Provider Practice Location Address
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Address Line | 820 TOWN CENTER DR SUITE 200
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City | LANGHORNE
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State | PA
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Zip | 19047-1785
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Country | US
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Telephone | 267-212-5000
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Fax | 267-212-5001
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Provider Business Mailing Address
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Address Line | 820 TOWN CENTER DR SUITE 200
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City | LANGHORNE
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State | PA
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Zip | 19047-1785
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Country | US
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Telephone | 267-212-5000
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Fax | 267-212-5001
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SCOTT ROSENTHAL
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Credential | D.O.
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Telephone | 267-212-5000
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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 |
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License Number State | PA
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