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General NPI Number Information
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NPI Number | 1730474149
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Entity Type | Organization
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Legal Business Name | THE PAIN AND WELLNESS GROUP, LLC
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 317 SEVEN SPRINGS WAY SUITE 201
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City | BRENTWOOD
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State | TN
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Zip | 37027-4575
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Country | US
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Telephone | 615-419-2042
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Fax |
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Provider Business Mailing Address
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Address Line | 317 SEVEN SPRINGS WAY SUITE 201
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City | BRENTWOOD
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State | TN
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Zip | 37027-4575
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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 | CFO
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Name | MRS. JESSICA W ANDERSON
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Credential |
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Telephone | 615-419-2042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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