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General NPI Number Information
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NPI Number | 1134550098
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Entity Type | Organization
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Legal Business Name | ADVANCED PAIN AND SPINE INSTITUTE AND HEALTH AND WELLNESS CENTER OF CI
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Dates
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Enumeration Date | 12/03/2013
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 9600 MONTGOMERY RD
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City | CINCINNATI
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State | OH
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Zip | 45242-7246
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Country | US
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Telephone | 606-564-9320
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 856300 DEPT 138
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City | LOUISVILLE
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State | KY
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Zip | 40285-6300
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAGDALENA E KERSCHNER
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Credential | M.D.
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Telephone | 606-564-9320
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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 |
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License Number State |
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