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General NPI Number Information
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NPI Number | 1659441897
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Entity Type | Organization
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Legal Business Name | PAIN MANAGEMENT TECHNOLOGIES INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 09/06/2007
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Provider Practice Location Address
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Address Line | 7100 PRESTON HWY
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City | LOUISVILLE
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State | KY
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Zip | 40219-2730
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Country | US
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Telephone | 502-968-8364
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Fax | 502-962-9505
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Provider Business Mailing Address
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Address Line | 7100 PRESTON HWY
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City | LOUISVILLE
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State | KY
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Zip | 40219-2730
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Country | US
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Telephone | 502-968-8364
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Fax | 502-962-9505
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSHUA LEFKOVITZ
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Credential |
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Telephone | 330-564-0817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | KY
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