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General NPI Number Information
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NPI Number | 1811700040
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH PAIN ASSOCIATES PLLC
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1998 HENDERSONVILLE RD STE 45
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City | ASHEVILLE
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State | NC
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Zip | 28803-2192
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Country | US
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Telephone | 828-232-1955
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Fax | 828-232-0329
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Provider Business Mailing Address
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Address Line | PO BOX 21890
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City | BELFAST
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State | ME
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Zip | 04915-4115
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Country | US
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Telephone | 502-907-0356
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Fax | 502-919-9780
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Authorized Official
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Title or Position | OWNER
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Name | JASON CARNES LEWIS
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Credential |
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Telephone | 502-855-3919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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