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General NPI Number Information
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NPI Number | 1588445944
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Entity Type | Organization
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Legal Business Name | PAIN ACCIDENT INJURY NETWORK, LLC
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Dates
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Enumeration Date | 10/11/2023
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 3210 W ALBERTA RD
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City | EDINBURG
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State | TX
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Zip | 78539-7103
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Country | US
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Telephone | 956-476-5229
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Fax |
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Provider Business Mailing Address
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Address Line | 3210 W ALBERTA RD
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City | EDINBURG
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State | TX
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Zip | 78539-7103
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Country | US
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Telephone | 956-476-5229
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH AREVALO
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Credential | DC
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Telephone | 956-223-0173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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