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General NPI Number Information
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NPI Number | 1659563351
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Entity Type | Organization
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Legal Business Name | PAIN MANAGEMENT, PLLC
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 08/16/2007
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Provider Practice Location Address
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Address Line | 140 E DIVISION RD STE A1
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City | OAK RIDGE
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State | TN
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Zip | 37830-6900
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Country | US
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Telephone | 865-220-0070
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Fax | 865-220-9918
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Provider Business Mailing Address
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Address Line | PO BOX 4547
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City | OAK RIDGE
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State | TN
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Zip | 37831-4547
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Country | US
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Telephone | 865-220-0070
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | CONNIE JOBE
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Credential |
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Telephone | 865-220-0070
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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 |
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License Number State |
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