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General NPI Number Information
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NPI Number | 1841692274
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Entity Type | Organization
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Legal Business Name | PRECISION PAIN MANAGEMENT LLC
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 6717 S YALE AVE STE 210
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City | TULSA
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State | OK
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Zip | 74136-3328
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Country | US
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Telephone | 918-857-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 6717 S YALE AVE STE 210
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City | TULSA
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State | OK
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Zip | 74136-3328
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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 | OWNER
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Name | STEVE MCCORMACK
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Credential |
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Telephone | 918-359-5940
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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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