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General NPI Number Information
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NPI Number | 1891713673
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Entity Type | Organization
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Legal Business Name | ASSC PAIN MANAGMENT
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 02/12/2010
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Provider Practice Location Address
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Address Line | 6280 SUNSET DR
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4827
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Country | US
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Telephone | 305-251-3991
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Fax | 305-251-7982
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Provider Business Mailing Address
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Address Line | PO BOX 431851
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City | MIAMI
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State | FL
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Zip | 33243-1851
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Country | US
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Telephone | 305-251-3991
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Fax | 305-251-7982
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Authorized Official
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Title or Position | MD
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Name | DR. FRANK VILASUSO
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Credential |
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Telephone | 305-251-3991
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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 | XXXXX
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License Number State | FL
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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 | XXXXX
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME0038817
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License Number State | FL
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