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General NPI Number Information
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NPI Number | 1346547122
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Entity Type | Organization
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Legal Business Name | NEUROQUEST DIABETIC PAIN RELIEF
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Dates
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Enumeration Date | 02/14/2011
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Last Update Date | 02/14/2011
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Provider Practice Location Address
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Address Line | 513 E RICH ST STE 201-203
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City | COLUMBUS
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State | OH
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Zip | 43215-5376
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Country | US
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Telephone | 614-883-6347
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Fax | 614-883-6399
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Provider Business Mailing Address
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Address Line | 513 E RICH ST STE 201-203
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City | COLUMBUS
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State | OH
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Zip | 43215-5376
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Country | US
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Telephone | 614-883-6347
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Fax | 614-883-6399
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Authorized Official
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Title or Position | OWNER
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Name | ARTURO MELEAN
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Credential |
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Telephone | 614-883-6347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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