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General NPI Number Information
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NPI Number | 1538573563
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Entity Type | Organization
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Legal Business Name | ARK PAIN MANAGEMENT, LLC
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Dates
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Enumeration Date | 06/18/2014
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 400 OLD FORGE LN SUITE 407
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-1914
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Country | US
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Telephone | 856-797-2879
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Fax | 856-797-1288
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Provider Business Mailing Address
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Address Line | 400 OLD FORGE LN SUITE 407
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-1914
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | JHA BHAWNA
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Credential |
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Telephone | 856-797-2879
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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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