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General NPI Number Information
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NPI Number | 1891028205
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Entity Type | Organization
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Legal Business Name | ABILENE PAIN CARE, PA
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 1758 S CLACK ST
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City | ABILENE
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State | TX
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Zip | 79605-4611
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Country | US
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Telephone | 325-695-7246
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Fax | 325-793-2273
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Provider Business Mailing Address
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Address Line | 1758 S CLACK ST
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City | ABILENE
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State | TX
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Zip | 79605-4611
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Country | US
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Telephone | 325-695-7246
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Fax | 325-793-2273
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUFKIN R MOSES
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Credential | D.O.
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Telephone | 325-695-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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