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General NPI Number Information
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NPI Number | 1578282471
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Entity Type | Organization
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Legal Business Name | METROPOLITAN PAIN PA
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Dates
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Enumeration Date | 08/24/2022
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 9501 OLD ANNAPOLIS RD STE 305
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-6337
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Country | US
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Telephone | 301-490-6698
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Fax |
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Provider Business Mailing Address
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Address Line | 9501 OLD ANNAPOLIS RD STE 305
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-6337
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Country | US
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Telephone | 301-490-6698
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEVI PEARSON
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Credential | MD
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Telephone | 443-367-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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