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General NPI Number Information
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NPI Number | 1275799199
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE SURGICAL SPECIALISTS LLC
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 333 W 89TH AVE STE W5
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7050
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Country | US
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Telephone | 219-662-2279
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Fax | 219-662-2123
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Provider Business Mailing Address
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Address Line | 333 W 89TH AVE STE W5
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7050
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Country | US
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Telephone | 219-662-2279
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Fax | 219-662-2123
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JOHN POMPONI
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Credential | D.O
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Telephone | 219-662-2279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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