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General NPI Number Information
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NPI Number | 1548045313
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Entity Type | Organization
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Legal Business Name | CENTERS FOR PAIN CONTROL, INC
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 2109 ROOSEVELT RD STE A
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City | VALPARAISO
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State | IN
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Zip | 46383-2796
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Country | US
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Telephone | 219-510-5109
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Fax | 833-488-3080
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Provider Business Mailing Address
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Address Line | 2500 CALUMET AVE STE E
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City | VALPARAISO
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State | IN
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Zip | 46383-3735
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Country | US
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Telephone | 219-476-7246
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Fax | 260-564-2111
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Authorized Official
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Title or Position | CAO
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Name | UJWALA S PURANIK
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Credential |
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Telephone | 219-476-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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