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General NPI Number Information
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NPI Number | 1952508582
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Entity Type | Organization
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Legal Business Name | ANESTHESIA AND PAIN MANAGEMENT
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 1540 LAKE LANSING RD SUITE G06
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City | LANSING
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State | MI
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Zip | 48912-3756
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Country | US
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Telephone | 517-482-7246
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Fax | 517-484-7377
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Provider Business Mailing Address
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Address Line | 1540 LAKE LANSING RD SUITE G06
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City | LANSING
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State | MI
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Zip | 48912-3756
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Country | US
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Telephone | 517-482-7246
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Fax | 517-484-7377
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MELONI WILLIAMS
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Credential |
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Telephone | 517-482-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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