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General NPI Number Information
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NPI Number | 1982422408
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Entity Type | Organization
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Legal Business Name | PAIN MANAGEMENT SOLUTIONS LLC
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 4801 WASHINGTON AVE STE 1146
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City | EVANSVILLE
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State | IN
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Zip | 47715-4807
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Country | US
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Telephone | 812-900-7870
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Fax | 812-900-7871
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Provider Business Mailing Address
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Address Line | 5010 DAVIS LANT DR STE 5
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City | EVANSVILLE
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State | IN
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Zip | 47715-8947
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Country | US
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Telephone | 812-900-7870
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Fax | 812-900-7871
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN RUPERT
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Credential | DO
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Telephone | 812-305-3395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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