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General NPI Number Information
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NPI Number | 1952257651
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Entity Type | Organization
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Legal Business Name | HOLISTIC PAIN MANAGEMENT OF GEORGIA LLC
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 163 S TALLAHASSEE ST
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City | HAZLEHURST
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State | GA
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Zip | 31539-6465
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Country | US
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Telephone | 970-682-0613
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Fax |
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Provider Business Mailing Address
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Address Line | 3780 N GARFIELD AVE STE 101
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City | LOVELAND
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State | CO
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Zip | 80538-2237
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RYAN SHEDD
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Credential |
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Telephone | 307-271-2332
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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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