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General NPI Number Information
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NPI Number | 1952255895
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Entity Type | Organization
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Legal Business Name | FIX YOUR PAIN LLC
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 17075 CAGAN RIDGE BLVD STE 101
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City | CLERMONT
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State | FL
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Zip | 34714-9619
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Country | US
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Telephone | 352-717-4377
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Fax |
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Provider Business Mailing Address
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Address Line | 6043 US HWY 1792 N SUITE 339
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City | DAVENPORT
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State | FL
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Zip | 33896
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Country | US
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Telephone | 352-717-4377
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | REBEKAH JACKSON
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Credential |
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Telephone | 352-717-4377
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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 |
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License Number State |
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