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General NPI Number Information
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NPI Number | 1639966740
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Entity Type | Organization
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Legal Business Name | PAIN AND REHAB ASSOCIATES LLC
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 7134 S YALE AVE STE 500
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City | TULSA
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State | OK
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Zip | 74136-6352
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Country | US
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Telephone | 918-841-2466
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 700701
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City | TULSA
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State | OK
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Zip | 74170-0701
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Country | US
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Telephone | 918-841-2466
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | TYLER RHODES
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Credential |
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Telephone | 918-740-3473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine 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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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