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General NPI Number Information
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NPI Number | 1033232004
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Entity Type | Organization
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Legal Business Name | MIDWEST PAIN TREATMENT CENTER, LLC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 03/16/2012
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Provider Practice Location Address
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Address Line | 1900 S MAIN ST
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City | FINDLAY
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State | OH
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Zip | 45840-1214
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Country | US
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Telephone | 419-423-5555
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Fax | 419-423-5538
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Provider Business Mailing Address
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Address Line | 1900 S MAIN ST
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City | FINDLAY
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State | OH
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Zip | 45840-1214
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Country | US
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Telephone | 419-423-5555
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Fax | 419-423-5538
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Authorized Official
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Title or Position | PRESIDENT
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Name | NAREN LAKSHMIPATHY
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Credential | MD
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Telephone | 419-453-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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