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General NPI Number Information
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NPI Number | 1841649050
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Entity Type | Organization
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Legal Business Name | PREMIER PAIN ASSOCIATES INC.
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 08/10/2017
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Provider Practice Location Address
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Address Line | 1150 E LANSING ST
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City | BROKEN ARROW
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State | OK
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Zip | 74012-2429
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Country | US
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Telephone | 918-760-3609
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 E LANSING ST
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City | BROKEN ARROW
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State | OK
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Zip | 74012-2429
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Country | US
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Telephone | 918-921-7661
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. DANIEL GREGORY MORRIS
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Credential | D.O.
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Telephone | 918-760-3609
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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 | 2182
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License Number State | OK
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