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General NPI Number Information
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NPI Number | 1770516080
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Entity Type | Organization
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Legal Business Name | PAIN MEDICINE & REHABILITATION GROUP PC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1805 WILLIAMSON CT
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City | BRENTWOOD
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State | TN
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Zip | 37027-8164
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Country | US
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Telephone | 615-331-5536
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Fax | 888-491-9394
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Provider Business Mailing Address
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Address Line | PO BOX 415000 MSC 410847
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City | NASHVILLE
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State | TN
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Zip | 37241-0847
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Country | US
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Telephone | 615-331-5536
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Fax | 888-491-9394
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOHN C NWOFIA
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Credential | M.D
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Telephone | 615-331-5536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 30672
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License Number State | TN
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