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General NPI Number Information
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NPI Number | 1508577826
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Entity Type | Organization
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Legal Business Name | PREMIER PAIN & SPINE CENTER, PLLC
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Dates
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Enumeration Date | 12/07/2022
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 1195 OLD HICKORY BLVD STE 102
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City | BRENTWOOD
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State | TN
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Zip | 37027-4239
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Country | US
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Telephone | 615-834-7777
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Fax | 615-632-2399
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Provider Business Mailing Address
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Address Line | 1195 OLD HICKORY BLVD STE 102
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City | BRENTWOOD
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State | TN
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Zip | 37027-4239
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Country | US
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Telephone | 615-834-7777
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Fax | 615-632-2399
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ALEX SCHMIDT
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Credential | MD
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Telephone | 615-637-7463
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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 |
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