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General NPI Number Information
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NPI Number | 1831669522
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Entity Type | Organization
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Legal Business Name | CURETECK PAIN CENTER
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 17014 W BELL RD STE 103
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City | SURPRISE
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State | AZ
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Zip | 85374-2479
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Country | US
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Telephone | 602-338-9251
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Fax |
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Provider Business Mailing Address
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Address Line | 16356 N THOMPSON PEAK PKWY APT 1089
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2103
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | TRUSTEE
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Name | GARY WAGONER
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Credential | DC
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Telephone | 602-338-9251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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