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General NPI Number Information
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NPI Number | 1811090376
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Entity Type | Organization
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Legal Business Name | WOODLANDS PAIN CONSULTANTS,PA
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 1441 WOODSTEAD CT SUITE 300
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City | SPRING
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State | TX
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Zip | 77380-1410
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Country | US
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Telephone | 281-319-4910
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Fax | 832-663-9371
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Provider Business Mailing Address
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Address Line | 1544 SAWDUST RD STE 102
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City | SPRING
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State | TX
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Zip | 77380-2904
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Country | US
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Telephone | 813-194-9102
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Fax | 832-663-9371
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KIMBERLY ANN HENRY
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Credential |
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Telephone | 281-319-4910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | J4247
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License Number State | TX
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