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General NPI Number Information
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NPI Number | 1962712794
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Entity Type | Organization
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Legal Business Name | SOMNICARE ANESTHESIA & SPINE INTERVENTION SPECIALIST, INC
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 809 COUNTY ROAD 466 SUITE 302
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City | LADY LAKE
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State | FL
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Zip | 32159
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Country | US
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Telephone | 352-391-1750
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Fax | 352-391-1752
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Provider Business Mailing Address
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Address Line | 809 CR 466 STE 302
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City | LADY LAKE
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State | FL
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Zip | 32159
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Country | US
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Telephone | 352-391-1750
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Fax | 352-391-1752
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DARYOUSH SABET-PAYMAN
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Credential | MD
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Telephone | 352-391-1750
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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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