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General NPI Number Information
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NPI Number | 1790126084
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Entity Type | Organization
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Legal Business Name | HURRICANE PAIN MANAGEMENT LLC
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 2200 N LIMESTONE ST STE 102
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City | SPRINGFIELD
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State | OH
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Zip | 45503-2692
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Country | US
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Telephone | 937-717-0954
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Fax | 937-521-3467
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Provider Business Mailing Address
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Address Line | 2200 N LIMESTONE ST STE 102
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City | SPRINGFIELD
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State | OH
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Zip | 45503-2692
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Country | US
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Telephone | 937-717-0954
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Fax | 937-521-3467
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Authorized Official
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Title or Position | OWNER
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Name | ANSHUMAN R SWAIN
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Credential | MD
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Telephone | 614-632-4588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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