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General NPI Number Information
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NPI Number | 1588403448
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Entity Type | Organization
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Legal Business Name | INTEGRATED PAIN SOLUTIONS PLLC
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 20 MEDICAL CAMPUS DR NW STE 207
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City | SUPPLY
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State | NC
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Zip | 28462-4094
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Country | US
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Telephone | 910-687-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 695 S BENNETT ST
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-5919
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Country | US
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Telephone | 910-725-1708
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES E TAYLOR
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Credential | MD
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Telephone | 910-725-1708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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