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General NPI Number Information
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NPI Number | 1962747949
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Entity Type | Organization
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Legal Business Name | DOCTORS'PAIN MANAGEMENT ASSOCIATES,LLC
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Dates
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Enumeration Date | 12/03/2012
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 1417 N SEMORAN BLVD SUITE 106
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City | ORLANDO
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State | FL
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Zip | 32807-3555
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Country | US
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Telephone | 407-282-5809
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Fax | 407-282-5810
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Provider Business Mailing Address
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Address Line | 1417 N SEMORAN BLVD SUITE 106
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City | ORLANDO
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State | FL
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Zip | 32807-3555
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Country | US
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Telephone | 407-282-5809
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Fax | 407-282-5810
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Authorized Official
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Title or Position | PRESIDET/OWNER
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Name | PAUL S WEBSTER
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Credential | M.D.
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Telephone | 407-282-5809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | ME67861
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License Number State | FL
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