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General NPI Number Information
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NPI Number | 1164684338
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Entity Type | Organization
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Legal Business Name | ADVANCED COMPREHENSIVE PAIN MANAGEMENT, LLC
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 24400 CHAGRIN BLVD
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City | BEACHWOOD
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State | OH
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Zip | 44122-5642
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Country | US
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Telephone | 440-995-4500
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Fax | 440-995-4585
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Provider Business Mailing Address
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Address Line | 24400 CHAGRIN BLVD STE 200
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City | BEACHWOOD
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State | OH
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Zip | 44122-5632
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Country | US
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Telephone | 440-995-4500
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Fax | 440-995-4585
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHERIF A. SALAMA
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Credential | MD
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Telephone | 440-995-4500
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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 | 35-071836
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License Number State | OH
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