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NPI 1770396202

NPI 1770396202 : INTEGRATED PAIN SOLUTIONS OF FLORIDA, PLLC : BONITA SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1770396202
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    Entity Type          |    Organization 
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    Legal Business Name  |    INTEGRATED PAIN SOLUTIONS OF FLORIDA, PLLC 
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Dates
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    Enumeration Date     |    01/29/2025
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    Last Update Date     |    01/29/2025
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Provider Practice Location Address
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    Address Line         |    27300 RIVERVIEW CENTER BLVD STE 101 
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    City                 |    BONITA SPRINGS
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    State                |    FL
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    Zip                  |    34134-4316
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    Country              |    US
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    Telephone            |    844-200-7246
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    27300 RIVERVIEW CENTER BLVD STE 101 
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    City                 |    BONITA SPRINGS
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    State                |    FL
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    Zip                  |    34134-4316
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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    |    OWNER
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    Name                 |     CURT  DRAEGER 
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    Credential           |    DC
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    Telephone            |    715-610-1844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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