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General NPI Number Information
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NPI Number | 1992936769
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Entity Type | Organization
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Legal Business Name | METROPLEX PAIN ASSOCIATES, PA
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 2692 W WALNUT ST STE 107
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City | GARLAND
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State | TX
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Zip | 75042-6417
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Country | US
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Telephone | 972-499-4266
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Fax | 972-499-4267
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Provider Business Mailing Address
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Address Line | PO BOX 941010
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City | PLANO
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State | TX
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Zip | 75094-1010
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Country | US
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Telephone | 972-499-4266
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MRUGESHKUMAR SHAH
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Credential | MD
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Telephone | 972-499-4266
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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 | N2738
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License Number State | TX
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Taxonomy #2
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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 | N2738
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License Number State | TX
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