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NPI 1871894352

NPI 1871894352 : PAIN TECHNOLOGY SOLUTIONS : ROWLETT, TX

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General NPI Number Information
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    NPI Number           |    1871894352
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    Entity Type          |    Organization 
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    Legal Business Name  |    PAIN TECHNOLOGY SOLUTIONS 
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Dates
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    Enumeration Date     |    11/15/2010
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    Last Update Date     |    11/15/2010
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Provider Practice Location Address
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    Address Line         |    8313 CIRCLEVIEW ST 
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    City                 |    ROWLETT
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    State                |    TX
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    Zip                  |    75088-4778
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    Country              |    US
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    Telephone            |    214-957-6285
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2151 
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    City                 |    ROWLETT
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    State                |    TX
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    Zip                  |    75030-2151
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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    |    CEO
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    Name                 |    MS. DEE DEE  ASHMORE 
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    Credential           |    
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    Telephone            |    214-957-6285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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