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General NPI Number Information
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NPI Number | 1700108776
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Entity Type | Organization
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Legal Business Name | CHRONIC PAIN ASSOCIATES, P.C.
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Dates
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Enumeration Date | 02/18/2010
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 7592 METROPOLITAN DR SUITE 401
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City | SAN DIEGO
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State | CA
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Zip | 92108-4428
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Country | US
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Telephone | 877-727-5974
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Fax |
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Provider Business Mailing Address
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Address Line | 7592 METROPOLITAN DR SUITE 401
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City | SAN DIEGO
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State | CA
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Zip | 92108-4428
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS AND CFO
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Name | MR. MIKEL PARKER
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Credential |
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Telephone | 858-342-5441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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