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General NPI Number Information
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NPI Number | 1710065149
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Entity Type | Organization
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Legal Business Name | PAIN SPECIALTY CONSULTANTS, PA
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 1200 BROOKLYN AVE STE 140
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City | SAN ANTONIO
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State | TX
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Zip | 78212-4817
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Country | US
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Telephone | 210-527-1166
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Fax | 210-527-1163
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Provider Business Mailing Address
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Address Line | PO BOX 12952
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City | SAN ANTONIO
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State | TX
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Zip | 78212-0952
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Country | US
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Telephone | 210-527-1166
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Fax | 210-527-1163
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. PRAFULLA C. SINGH
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Credential | M.D.
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Telephone | 210-527-1166
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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 | J9353
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | J9353
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License Number State | TX
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