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General NPI Number Information
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NPI Number | 1740507300
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Entity Type | Organization
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Legal Business Name | HEADACHE, PAIN & INJURY CENTER, INC.
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Dates
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Enumeration Date | 04/22/2010
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Last Update Date | 01/29/2014
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Provider Practice Location Address
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Address Line | 4730 NW 2ND AVE STE 101
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City | BOCA RATON
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State | FL
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Zip | 33431-4813
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Country | US
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Telephone | 561-997-0900
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Fax | 561-997-2090
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Provider Business Mailing Address
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Address Line | 4730 NW 2ND AVE STE 101
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City | BOCA RATON
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State | FL
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Zip | 33431-4813
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Country | US
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Telephone | 561-997-0900
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Fax | 561-997-2090
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANK URBAN JR.
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Credential | M.D., M.S.
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Telephone | 561-997-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | ME71689
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License Number State | FL
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