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General NPI Number Information
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NPI Number | 1558779736
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Entity Type | Organization
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Legal Business Name | PREFERRED PAIN ASSOCIATES OF ALABAMA, P.C.
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 5057 PINNACLE SQ
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3216
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Country | US
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Telephone | 205-508-5300
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Fax | 205-508-5552
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Provider Business Mailing Address
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Address Line | 5057 PINNACLE SQ
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3216
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Country | US
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Telephone | 205-508-5300
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Fax | 205-508-5552
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH ROLAND LUC FRENETTE
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Credential |
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Telephone | 205-508-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 16051
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | AL16501
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License Number State | AL
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