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General NPI Number Information
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NPI Number | 1629917224
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Entity Type | Organization
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Legal Business Name | IDEAL PAIN MANAGEMENT, LLC
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 5282 CAMPBELL BLVD STE I
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City | NOTTINGHAM
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State | MD
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Zip | 21236-4913
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Country | US
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Telephone | 703-522-2727
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Fax | 703-542-3753
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Provider Business Mailing Address
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Address Line | 217 E CHURCHVILLE RD
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City | BEL AIR
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State | MD
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Zip | 21014-3825
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Country | US
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Telephone | 703-522-2727
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Fax | 703-542-3753
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | LISA PAPENFUHS
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Credential |
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Telephone | 703-522-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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