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General NPI Number Information
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NPI Number | 1285683110
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Entity Type | Organization
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Legal Business Name | NORTHWEST OHIO PAIN MANAGEMENT ASSOCIATES, LTD.
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 07/30/2007
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Provider Practice Location Address
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Address Line | 2600 NAVARRE AVE PAIN CLINIC
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City | OREGON
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State | OH
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Zip | 43616-3207
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Country | US
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Telephone | 419-696-7646
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 NAVARRE AVE PAIN CLINIC
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City | OREGON
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State | OH
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Zip | 43616-3207
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Country | US
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Telephone | 419-696-7646
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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. KIRAN C. TAMIRISA
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Credential | M.D.
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Telephone | 419-696-7646
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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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