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General NPI Number Information
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NPI Number | 1508201898
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Entity Type | Organization
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Legal Business Name | CENTER FOR PAIN MANAGEMENT
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 10/22/2013
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Provider Practice Location Address
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Address Line | 440 B HIGH ST
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City | BOWLING GREEN
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State | KY
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Zip | 42101
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Country | US
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Telephone | 270-282-7116
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Fax |
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Provider Business Mailing Address
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Address Line | 440 B HIGH ST
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City | BOWLING GREEN
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State | KY
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Zip | 42101
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Country | US
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Telephone | 270-282-7116
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Fax | 270-282-7121
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RAMARAO V PASUPULETI
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Credential | M.D.
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Telephone | 270-282-7116
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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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