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General NPI Number Information
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NPI Number | 1750587911
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Entity Type | Organization
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Legal Business Name | PAIN RELIEF MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5040 NW 7ST SUITE 410
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City | MIAMI
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State | FL
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Zip | 33126-3431
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Country | US
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Telephone | 305-569-0263
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Fax | 305-569-0283
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Provider Business Mailing Address
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Address Line | 5040 NW 7ST SUITE 410
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City | MIAMI
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State | FL
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Zip | 33126-3431
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Country | US
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Telephone | 305-569-0263
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Fax | 305-569-0283
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TOM LEONARD
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Credential | MT
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Telephone | 305-569-0263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | MM19829
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License Number State | FL
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