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General NPI Number Information
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NPI Number | 1538342357
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC PAIN MANAGEMENT
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 6929 N WILLOW AVE STE 103
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City | FRESNO
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State | CA
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Zip | 93710-5956
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Country | US
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Telephone | 559-323-7246
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Fax | 559-323-7271
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Provider Business Mailing Address
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Address Line | 6929 N WILLOW AVE STE #103
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City | FRESNO
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State | CA
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Zip | 93710-5956
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Country | US
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Telephone | 559-323-7246
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Fax | 559-323-7271
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Authorized Official
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Title or Position | OWNER-PRESIDENT
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Name | MS. JULIA ANNE PIAZZA
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Credential |
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Telephone | 559-323-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 53036
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License Number State | CA
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