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General NPI Number Information
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NPI Number | 1679582738
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Entity Type | Organization
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Legal Business Name | D&R PAIN MANAGEMENT INC.
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 239 EDGEWOOD DR. EXT.
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City | TRANSFER
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State | PA
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Zip | 16154
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Country | US
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Telephone | 724-646-0400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1088
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City | HERMITAGE
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State | PA
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Zip | 16148-0088
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Country | US
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Telephone | 724-528-1088
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ELLEN LIST
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Credential |
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Telephone | 724-528-1088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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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 | 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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