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General NPI Number Information
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NPI Number | 1558359661
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Entity Type | Organization
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Legal Business Name | PHYSICAL MEDICINE & PAIN MANAGEMENT ASSOCIATES, P.C.
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 12/31/2013
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Provider Practice Location Address
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Address Line | 2002 MEDICAL PKWY SUITE 430
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3046
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Country | US
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Telephone | 410-266-2700
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Fax | 410-269-1149
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Provider Business Mailing Address
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Address Line | 2002 MEDICAL PKWY SUITE 430
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3046
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Country | US
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Telephone | 410-266-2700
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Fax | 410-269-1149
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Authorized Official
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Title or Position | SECRETARY
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Name | SUSAN H ZIMMERMAN
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Credential | MD
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Telephone | 410-266-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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