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General NPI Number Information
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NPI Number | 1598745317
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Entity Type | Organization
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Legal Business Name | PAIN CARE PHYSICIANS, PA
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 03/22/2011
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Provider Practice Location Address
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Address Line | 2315 W BEN WHITE BLVD
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City | AUSTIN
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State | TX
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Zip | 78704-7524
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Country | US
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Telephone | 512-326-5440
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Fax | 512-326-8660
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Provider Business Mailing Address
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Address Line | 2315 W BEN WHITE BLVD
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City | AUSTIN
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State | TX
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Zip | 78704-7524
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Country | US
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Telephone | 512-326-5440
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Fax | 512-326-8660
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANAND JOSHI
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Credential | M.D.
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Telephone | 512-326-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | J8005
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License Number State | TX
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