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General NPI Number Information
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NPI Number | 1205422821
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Entity Type | Organization
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Legal Business Name | ARTHRITIS AND JOINT PAIN RELIEF CENTER LLC
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Dates
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Enumeration Date | 12/17/2020
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 4002 N HAMPTON DR
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City | POWELL
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State | OH
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Zip | 43065-8444
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Country | US
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Telephone | 614-389-0994
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Fax | 614-845-3216
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Provider Business Mailing Address
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Address Line | 4002 N HAMPTON DR
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City | POWELL
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State | OH
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Zip | 43065-8444
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Country | US
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Telephone | 614-389-0994
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Fax | 614-845-3216
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Authorized Official
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Title or Position | MEDICAL DIRECTOR / OWNER
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Name | LISA M ESTERLE
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Credential | DO
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Telephone | 330-331-7207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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