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General NPI Number Information
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NPI Number | 1720160229
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Entity Type | Organization
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Legal Business Name | PAIN PARTNERS MD LLC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 380 EMPIRE ROAD SUITE 200
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City | LAFAYETTE
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State | CO
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Zip | 80026
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Country | US
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Telephone | 303-926-7360
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Fax | 303-926-7359
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Provider Business Mailing Address
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Address Line | 380 EMPIRE ROAD SUITE 200
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City | LAFAYETTE
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State | CO
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Zip | 80026
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Country | US
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Telephone | 303-926-7360
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Fax | 303-926-7359
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Authorized Official
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Title or Position | CEO
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Name | DR. SCOTT T BOYD
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Credential | MD
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Telephone | 303-926-7360
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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 | 42618
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License Number State | CO
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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 | CO42618
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License Number State | CO
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