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General NPI Number Information
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NPI Number | 1740535368
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Entity Type | Organization
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Legal Business Name | ACCESS PAIN SOLUTIONS
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 4750 S GARNETT RD
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City | TULSA
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State | OK
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Zip | 74146-5222
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Country | US
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Telephone | 918-710-4112
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Fax | 918-710-4118
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Provider Business Mailing Address
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Address Line | 4750 S GARNETT RD
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City | TULSA
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State | OK
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Zip | 74146-5222
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Country | US
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Telephone | 918-710-4112
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Fax | 918-710-4118
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Authorized Official
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Title or Position | CEO
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Name | CANNEN FERRELL
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Credential |
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Telephone | 918-260-2093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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