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General NPI Number Information
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NPI Number | 1316981616
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Entity Type | Organization
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Legal Business Name | CINCINNATI CENTERS FOR PAIN RELIEF INC
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 3145 HAMILTON MASON RD STUITE 201
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City | HAMILTON
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State | OH
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Zip | 45011-8557
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Country | US
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Telephone | 513-454-2277
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Fax | 513-454-2288
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Provider Business Mailing Address
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Address Line | PO BOX 127
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City | CINCINNATI
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State | OH
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Zip | 45012-0001
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Country | US
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Telephone | 513-454-2277
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Fax | 513-454-2288
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Authorized Official
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Title or Position | PRESIDENT
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Name | NILESH B JOBALIA
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Credential | MD
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Telephone | 513-454-2277
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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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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 35-062727
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License Number State | OH
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