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General NPI Number Information
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NPI Number | 1780121442
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Entity Type | Organization
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Legal Business Name | NORTH MEDICAL PAIN SERVICES PLLC
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Dates
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Enumeration Date | 01/19/2017
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 3316 MOUNT VERNON ST
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City | HOUSTON
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State | TX
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Zip | 77006-3829
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Country | US
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Telephone | 254-212-1253
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Fax |
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Provider Business Mailing Address
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Address Line | 6140 S GUN CLUB RD STE K6-291
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City | AURORA
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State | CO
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Zip | 80016-5306
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Country | US
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Telephone | 281-902-9277
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Fax | 800-505-8089
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. WON YI
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Credential | MD
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Telephone | 832-754-5000
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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 | M2876
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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