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General NPI Number Information
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NPI Number | 1609343201
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Entity Type | Organization
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Legal Business Name | CENTER FOR PAIN MANAGEMENT LLC
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Dates
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Enumeration Date | 11/01/2018
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 3460 OLD WASHINGTON RD STE 300
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City | WALDORF
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State | MD
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Zip | 20602-3245
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Country | US
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Telephone | 301-645-1523
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Fax | 301-645-6812
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Provider Business Mailing Address
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Address Line | 4960 SW 72ND AVE STE 405
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City | MIAMI
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State | FL
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Zip | 33155-5506
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Country | US
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Telephone | 469-458-9222
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Fax | 540-918-7202
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Authorized Official
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Title or Position | RCM MANAGER
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Name | SHANEKA TINCH
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Credential |
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Telephone | 469-458-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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