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General NPI Number Information
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NPI Number | 1164462719
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PAIN MEDICINE INC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 06/24/2014
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Provider Practice Location Address
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Address Line | 928A MAR WALT DR
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6706
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Country | US
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Telephone | 850-969-9804
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30328
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City | PENSACOLA
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State | FL
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Zip | 32503-1328
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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 | DR. GILBERT DROZDOW
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Credential | M.D.
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Telephone | 954-838-2371
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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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