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General NPI Number Information
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NPI Number | 1871715649
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Entity Type | Organization
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Legal Business Name | PAIN AND HEALTH MANAGEMENT CENTER PA
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 915 GESSNER RD. SUITE 970
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City | HOUSTON
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State | TX
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Zip | 77024
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Country | US
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Telephone | 713-932-0770
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Fax | 713-932-8595
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Provider Business Mailing Address
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Address Line | 915 GESSNER RD SUITE 970
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City | HOUSTON
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State | TX
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Zip | 77024-2527
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Country | US
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Telephone | 713-932-0770
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Fax | 713-932-8595
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Authorized Official
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Title or Position | PARTNER
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Name | DR. JEFFREY HAL CHARNOV
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Credential |
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Telephone | 713-932-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | H6111
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License Number State | TX
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