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General NPI Number Information
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NPI Number | 1700419595
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Entity Type | Organization
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Legal Business Name | ANTIPAIN LIFESTYLE, LLC
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Dates
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Enumeration Date | 02/20/2020
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 5920 W. WILLIAM CANNON DR. BUILDING SEVEN, SUITE 102
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City | AUSTIN
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State | TX
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Zip | 78749-1216
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Country | US
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Telephone | 669-237-2239
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 92844
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City | AUSTIN
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State | TX
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Zip | 78709-2844
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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
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Name | DR. MELISSA RUIZ CADY
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Credential | DO
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Telephone | 669-237-2239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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