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General NPI Number Information
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NPI Number | 1831116375
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Entity Type | Organization
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Legal Business Name | CENTER FOR PAIN RELIEF, INC.
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 400 COURT ST STE 100
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City | CHARLESTON
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State | WV
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Zip | 25301-1652
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Country | US
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Telephone | 304-347-6120
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Fax | 304-347-6126
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Provider Business Mailing Address
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Address Line | 400 COURT ST STE 100
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City | CHARLESTON
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State | WV
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Zip | 25301-1652
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Country | US
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Telephone | 304-347-6120
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Fax | 304-347-6126
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | TIMOTHY RAY DEER
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Credential | MD
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Telephone | 304-347-6120
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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 | WV
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | WV
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Taxonomy #3
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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 | WV
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | WV
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Taxonomy #6
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State | WV
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