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General NPI Number Information
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NPI Number | 1902844798
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Entity Type | Organization
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Legal Business Name | ADVANCED PAIN CONSULTANTS
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 3449 RIDGE RD
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City | HIGHLAND
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State | IN
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Zip | 46322-2049
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Country | US
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Telephone | 219-838-1100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 608
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City | HAMMOND
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State | IN
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Zip | 46325-0608
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Country | US
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Telephone | 219-838-1100
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | RAMESH KANURU
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Credential | M.D.
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Telephone | 219-838-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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