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General NPI Number Information
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NPI Number | 1568290856
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Entity Type | Organization
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Legal Business Name | PAHRUMP PAIN FREE LLC
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Dates
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Enumeration Date | 07/26/2024
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 2280 E CALVADA BLVD STE 302
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City | PAHRUMP
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State | NV
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Zip | 89048-3959
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Country | US
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Telephone | 775-902-2777
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Fax | 775-541-1199
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Provider Business Mailing Address
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Address Line | 2280 E CALVADA BLVD STE 302
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City | PAHRUMP
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State | NV
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Zip | 89048-3959
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Country | US
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Telephone | 775-902-2777
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Fax | 775-541-1199
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JULIE ANN PERRY
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Credential |
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Telephone | 775-253-5955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 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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