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General NPI Number Information
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NPI Number | 1740546654
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Entity Type | Organization
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Legal Business Name | NOBLE PAIN MANAGEMENT PLLC
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 04/04/2012
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Provider Practice Location Address
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Address Line | 1000 SHILOH RD SUITE 100
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City | PLANO
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State | TX
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Zip | 75074-7224
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Country | US
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Telephone | 214-324-6324
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 INTERNATIONAL PLZ SUITE 600
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City | FORT WORTH
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State | TX
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Zip | 76109-4820
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Country | US
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Telephone | 817-334-0530
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Fax | 817-877-0350
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS KENJARSKI
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Credential | MD
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Telephone | 214-324-6324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | L6458
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License Number State | TX
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