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A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pain Medicine |
2081P2900X | 25 | Physician/Physical Medicine and Rehabilitation | |
Anesthesiology |
207L00000X | 79 | Physician/Addiction Medicine | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1639404635 |
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| LBN Legal business name | PROVIDENT PAIN AND WELLNESS CLINIC | ||||||||
| Authorized official | RAUL MASING - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/08/2009 | ||||||||
| Last updated | 03/28/2011 - About 15 years ago | ||||||||
| Identifiers |
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PROVIDENT PAIN AND WELLNESS CLINIC
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PROVIDENT PAIN AND WELLNESS CLINIC