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General NPI Number Information
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NPI Number | 1609183581
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Entity Type | Organization
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Legal Business Name | PREMIER PAIN & ANESTHESIA CONSULTANTS LLC
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 114 BRADY CIR E
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City | STEUBENVILLE
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State | OH
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Zip | 43952-1478
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Country | US
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Telephone | 740-282-8100
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Fax | 740-282-8101
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Provider Business Mailing Address
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Address Line | PO BOX 2356
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City | WINTERSVILLE
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State | OH
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Zip | 43953-0356
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Country | US
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Telephone | 740-282-8100
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Fax | 740-282-8101
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUXMI GAHLOT
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Credential | MD
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Telephone | 740-282-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology 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 | 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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