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General NPI Number Information
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NPI Number | 1861765109
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Entity Type | Organization
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Legal Business Name | URGENT PAIN MANAGEMENT, INC
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 06/25/2019
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Provider Practice Location Address
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Address Line | 1600 MACY DR
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City | ROSWELL
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State | GA
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Zip | 30076-6349
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Country | US
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Telephone | 678-878-3335
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Fax | 788-783-3426
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Provider Business Mailing Address
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Address Line | 106 AUGUSTA DR
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City | MCDONOUGH
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State | GA
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Zip | 30253-4267
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Country | US
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Telephone | 404-402-0773
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Fax | 770-507-7559
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | FRANCIS K ACQUAH
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Credential | MD
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Telephone | 404-402-0773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #2
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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 | GA
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