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General NPI Number Information
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NPI Number | 1538277686
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Entity Type | Organization
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Legal Business Name | INTERVENTIONAL PAIN MANAGEMENT SPECIALISTS, PLLC
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 710 WELLINGTON AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-6123
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Country | US
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Telephone | 970-255-7824
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 WELLINGTON AVE SUITE 206
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-6129
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Country | US
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Telephone | 970-243-3385
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DANIEL R. NELSON
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Credential | MD
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Telephone | 970-243-3385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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