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General NPI Number Information
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NPI Number | 1518297399
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Entity Type | Organization
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Legal Business Name | ANESTHESIA & PAIN CARE SERVICES, PLLC
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Dates
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Enumeration Date | 12/30/2009
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 1024 IVAL JAMES BLVD SUITE C
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City | RICHMOND
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State | KY
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Zip | 40475-7622
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Country | US
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Telephone | 859-353-5907
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Fax | 859-353-5683
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Provider Business Mailing Address
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Address Line | PO BOX 1780
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City | RICHMOND
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State | KY
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Zip | 40476-1780
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Country | US
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Telephone | 859-353-5907
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Fax | 859-353-5683
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAMMAD U MALIK
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Credential | MD
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Telephone | 859-353-5907
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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 | 37055
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License Number State | KY
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