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General NPI Number Information
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NPI Number | 1659359503
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Entity Type | Organization
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Legal Business Name | PARKWAY PAIN SERVICES PA
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Dates
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Enumeration Date | 01/01/2006
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 201 E UNIVERSITY PKWY
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City | BALTIMORE
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State | MD
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Zip | 21218-2829
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Country | US
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Telephone | 410-554-6497
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Fax |
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Provider Business Mailing Address
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Address Line | 804 SCOTT NIXON MEMORIAL DR
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City | AUGUSTA
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State | GA
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Zip | 30907-2464
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Country | US
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Telephone | 800-394-4445
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Fax | 706-650-1034
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD SHAPIRO
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Credential | MD
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Telephone | 410-554-6497
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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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