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General NPI Number Information
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NPI Number | 1992567762
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Entity Type | Organization
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Legal Business Name | MULTIDISCIPLINARY PAIN CENTER
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Dates
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Enumeration Date | 01/26/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 3206 TOWER OAKS BLVD STE 200
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City | ROCKVILLE
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State | MD
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Zip | 20852-4253
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Country | US
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Telephone | 240-240-9141
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Fax | 240-240-9141
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Provider Business Mailing Address
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Address Line | 3206 TOWER OAKS BLVD STE 200
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City | ROCKVILLE
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State | MD
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Zip | 20852-4253
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Country | US
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Telephone | 502-386-2444
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Fax | 240-240-9141
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Authorized Official
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Title or Position | PEDIATRIC & ADULT PAIN PHYSICIAN
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Name | DR. M-IRFAN SULEMAN
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Credential | MD
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Telephone | 502-386-2444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 281PC2000X
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Taxonomy Name | Children's Chronic Disease Hospital
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License Number |
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License Number State |
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Taxonomy #4
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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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