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General NPI Number Information
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NPI Number | 1851790778
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Entity Type | Organization
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Legal Business Name | TOTAL PAIN SOLUTIONS, PC
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Dates
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Enumeration Date | 08/15/2014
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Last Update Date | 08/15/2014
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Provider Practice Location Address
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Address Line | 3969 S COBB DR SE SUITE 205
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City | SMYRNA
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State | GA
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Zip | 30080-6358
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Country | US
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Telephone | 404-400-2683
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Fax |
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Provider Business Mailing Address
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Address Line | 5008 DUXFORD DR SE
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City | SMYRNA
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State | GA
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Zip | 30082-5057
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Country | US
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Telephone | 678-207-9479
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. VINAI VISHWANATH
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Credential | M.D.
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Telephone | 404-400-2683
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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 | 55994
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License Number State | GA
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