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General NPI Number Information
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NPI Number | 1770893943
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR PHYSICAL MEDICINE AND PAIN MANAGEMENT PC
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 2227 TAYLOR RD
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City | MONTGOMERY
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State | AL
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Zip | 36117-3439
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Country | US
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Telephone | 334-260-8988
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Fax | 334-260-8225
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Provider Business Mailing Address
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Address Line | 2227 TAYLOR RD
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City | MONTGOMERY
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State | AL
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Zip | 36117-3439
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Country | US
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Telephone | 334-260-8988
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR / OWNER
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Name | DR. RACHELLE B JANUSH
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Credential | DO
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Telephone | 334-260-8988
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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 | DO489
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License Number State | AL
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