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General NPI Number Information
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NPI Number | 1568070274
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Entity Type | Organization
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Legal Business Name | PAIN MANAGEMENT CENTERS OF AMERICA, PSC
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 2201 GREEN VALLEY RD
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City | NEW ALBANY
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State | IN
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Zip | 47150-4647
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Country | US
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Telephone | 812-949-4765
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 PROFESSIONAL BLVD STE 100
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City | EVANSVILLE
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State | IN
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Zip | 47714-8018
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Country | US
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Telephone | 812-477-7246
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Fax | 812-477-7240
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAHENDRA R. SANAPATI
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Credential | MD
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Telephone | 812-477-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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