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General NPI Number Information
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NPI Number | 1952199515
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Entity Type | Organization
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Legal Business Name | STOTTS PAIN MANAGEMENT AND ANESTHESIA INC
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 8000 ELDORADO PKWY STE A
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City | MCKINNEY
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State | TX
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Zip | 75070-4136
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Country | US
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Telephone | 469-742-9950
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Fax | 972-548-9005
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Provider Business Mailing Address
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Address Line | 8000 ELDORADO PKWY STE A
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City | MCKINNEY
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State | TX
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Zip | 75070-4136
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Country | US
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Telephone | 469-742-9950
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Fax | 972-548-9005
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Authorized Official
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Title or Position | OWNER
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Name | RONNIE STOTTS
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Credential | MD
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Telephone | 469-742-9950
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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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