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General NPI Number Information
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NPI Number | 1720324809
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Entity Type | Organization
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Legal Business Name | UNIVERSAL PAIN MANAGEMENT, PLLC
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 755 N 11TH ST SUITE P2280
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City | BEAUMONT
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State | TX
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Zip | 77702-1500
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Country | US
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Telephone | 409-236-1600
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Fax | 409-236-1601
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Provider Business Mailing Address
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Address Line | 755 N 11TH ST SUITE P3600
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City | BEAUMONT
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State | TX
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Zip | 77702-1500
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Country | US
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Telephone | 409-835-0348
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Fax | 409-832-3125
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN J. SCHANGE
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Credential | M.D.
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Telephone | 409-835-0348
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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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