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General NPI Number Information
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NPI Number | 1497301386
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Entity Type | Organization
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Legal Business Name | SKILLED PAIN CARE CLINIC, P.A.
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 2840 COMMERCIAL CENTER BLVD STE 104
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City | KATY
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State | TX
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Zip | 77494-6412
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Country | US
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Telephone | 832-533-8872
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Fax |
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Provider Business Mailing Address
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Address Line | 2050 NORTH LOOP W STE 135
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City | HOUSTON
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State | TX
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Zip | 77018-8143
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Country | US
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Telephone | 832-533-8872
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | SYED M NASIR
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Credential |
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Telephone | 832-533-8872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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