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General NPI Number Information
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NPI Number | 1548151228
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Entity Type | Organization
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Legal Business Name | APOLLO PAIN MANAGEMENT, LLC
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 5307 E. STATE ROUTE 64
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City | BRADENTON
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State | FL
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Zip | 34208-5534
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Country | US
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Telephone | 833-320-7246
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Fax | 877-878-2936
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Provider Business Mailing Address
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Address Line | 720 CORTARO DR
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-6811
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Country | US
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Telephone | 833-320-7246
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Fax | 877-878-2936
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | RANDALL JAMES WARREN
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Credential | MD
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Telephone | 833-320-7246
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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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