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General NPI Number Information
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NPI Number | 1699775536
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Entity Type | Organization
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Legal Business Name | PAIN MANAGEMENT ASSOCIATES LLC
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 07/29/2021
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Provider Practice Location Address
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Address Line | 2139 AUBURN AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2906
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Country | US
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Telephone | 513-585-2451
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Fax | 513-672-4479
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Provider Business Mailing Address
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Address Line | 200 NORTHLAND BLVD FL 1
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City | CINCINNATI
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State | OH
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Zip | 45246-3604
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Country | US
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Telephone | 513-672-4128
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Fax | 513-672-4479
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Authorized Official
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Title or Position | DIRECTOR
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Name | DONALD ADKINS
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Credential |
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Telephone | 865-293-5328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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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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