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General NPI Number Information
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NPI Number | 1689858524
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Entity Type | Organization
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Legal Business Name | SUN PAIN MANAGEMENT PLLC
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 06/06/2019
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Provider Practice Location Address
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Address Line | 5501 N 19TH AVE STE 103
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City | PHOENIX
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State | AZ
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Zip | 85015
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Country | US
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Telephone | 602-589-0500
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Fax | 602-314-4552
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Provider Business Mailing Address
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Address Line | 5501 N 19TH AVE STE 103
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City | PHOENIX
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State | AZ
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Zip | 85015-2451
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Country | US
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Telephone | 602-589-0500
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Fax | 602-314-4552
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Authorized Official
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Title or Position | OWNER
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Name | DAVID TOWNS
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Credential | MD
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Telephone | 602-589-0500
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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 | 16073
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 16073
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License Number State | AZ
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