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General NPI Number Information
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NPI Number | 1679916688
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Entity Type | Organization
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Legal Business Name | NEUROPAIN SOLUTIONS LLC
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 04/12/2013
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Provider Practice Location Address
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Address Line | 800 N RAINBOW BLVD SUITE 215
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City | LAS VEGAS
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State | NV
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Zip | 89107-1189
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Country | US
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Telephone | 702-888-0052
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Fax | 702-952-1030
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Provider Business Mailing Address
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Address Line | 5550 LYNDON B JOHNSON FWY SUITE 360
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City | DALLAS
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State | TX
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Zip | 75240
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Country | US
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Telephone | 972-996-0900
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Fax | 972-996-0905
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT M SUTHERLAND
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Credential | MD
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Telephone | 903-330-6997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number | 14570
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 14570
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License Number State | NV
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