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General NPI Number Information
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NPI Number | 1801076963
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Entity Type | Organization
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Legal Business Name | PRECISION PAIN CLINIC
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 363 W MAIN ST
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City | LEWISVILLE
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State | TX
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Zip | 75057-3867
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Country | US
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Telephone | 972-436-4434
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Fax |
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Provider Business Mailing Address
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Address Line | 1509 SPANISH TRL
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City | PLANO
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State | TX
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Zip | 75023-3040
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Country | US
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Telephone | 469-835-9785
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | CRAIG SCOTT NELESON
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Credential | M.D.
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Telephone | 469-835-9785
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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 | M1970
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License Number State | TX
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