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General NPI Number Information
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NPI Number | 1902197247
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Entity Type | Organization
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Legal Business Name | STS PAIN SOLUTIONS, LLC
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 7501 LAKEVIEW PKWY SUITE 245
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City | ROWLETT
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State | TX
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Zip | 75088-9322
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Country | US
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Telephone | 888-553-7811
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Fax | 888-553-7811
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Provider Business Mailing Address
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Address Line | PO BOX 800465
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City | DALLAS
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State | TX
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Zip | 75380-0465
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Country | US
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Telephone | 888-553-7811
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Fax | 888-553-7811
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Authorized Official
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Title or Position | CFO
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Name | JAMES ELLIS
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Credential |
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Telephone | 888-553-7811
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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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