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General NPI Number Information
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NPI Number | 1629198296
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Entity Type | Organization
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Legal Business Name | ASSOCIATES FOR PAIN MANAGEMENT P.A.
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 06/26/2012
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Provider Practice Location Address
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Address Line | 10905 QUAKER AVE
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City | LUBBOCK
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State | TX
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Zip | 79424-8315
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Country | US
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Telephone | 806-796-7246
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Fax | 806-791-1462
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Provider Business Mailing Address
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Address Line | 10905 QUAKER AVE
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City | LUBBOCK
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State | TX
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Zip | 79424-8315
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Country | US
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Telephone | 806-796-7246
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Fax | 806-791-1462
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | ANTHONY K DAVIS
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Credential |
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Telephone | 806-796-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | H7850
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License Number State | TX
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