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General NPI Number Information
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NPI Number | 1811778442
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Entity Type | Organization
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Legal Business Name | PALMER PAIN AND HEADACHE LLC
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 1901 N HEMMER RD STE 111
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City | PALMER
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State | AK
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Zip | 99645-9690
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Country | US
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Telephone | 907-745-8000
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Fax | 907-745-8011
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Provider Business Mailing Address
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Address Line | 1150 S. COLONY WAY STE. 3 PMB 111
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City | PALMER
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State | AK
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Zip | 99645
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Country | US
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Telephone | 307-760-9532
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES H. PRICE
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Credential | DO
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Telephone | 307-760-9532
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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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