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General NPI Number Information
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NPI Number | 1922502194
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Entity Type | Organization
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Legal Business Name | OAKES FAMILY PAIN SOLUTIONS PLLC
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 05/29/2018
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Provider Practice Location Address
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Address Line | 1907 LISA DRIVE EXT STE B
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City | GREENVILLE
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State | MS
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Zip | 38703-4429
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Country | US
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Telephone | 662-334-2929
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Fax | 662-269-4482
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Provider Business Mailing Address
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Address Line | 1907 LISA DRIVE EXT STE B
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City | GREENVILLE
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State | MS
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Zip | 38703-4429
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Country | US
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Telephone | 662-334-2929
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Fax | 662-269-4482
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. LUTHER BRANDON OAKES
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Credential | MD
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Telephone | 662-334-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 22238
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License Number State | MS
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