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General NPI Number Information
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NPI Number | 1801541883
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Entity Type | Organization
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Legal Business Name | POST SURGICAL PAIN CARE LLC
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 101 JUDGE TANNER BLVD STE 102
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City | COVINGTON
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State | LA
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Zip | 70433-7504
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Country | US
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Telephone | 504-327-5266
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Fax | 724-252-2152
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Provider Business Mailing Address
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Address Line | 101 JUDGE TANNER BLVD STE 102
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City | COVINGTON
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State | LA
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Zip | 70433-7504
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Country | US
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Telephone | 504-327-5266
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Fax | 724-252-2152
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Authorized Official
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Title or Position | OWNER
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Name | GREGORY KUM-NJI
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Credential | MD
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Telephone | 724-988-9028
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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 |
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License Number State |
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