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General NPI Number Information
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NPI Number | 1780548032
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Entity Type | Organization
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Legal Business Name | ADVANCED PAIN MANAGEMENT OF ARIZONA PC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 2121 S MILL AVE STE 101
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City | TEMPE
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State | AZ
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Zip | 85282-2106
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Country | US
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Telephone | 480-605-9700
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Fax | 480-605-9700
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Provider Business Mailing Address
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Address Line | 11522 MANCHESTER WAY
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City | PORTER RANCH
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State | CA
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Zip | 91326-2459
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Country | US
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Telephone | 480-415-4253
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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 | MANRAJ KHOSLA
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Credential | MD
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Telephone | 480-415-4253
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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 |
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License Number State |
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