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General NPI Number Information
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NPI Number | 1356592802
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PHYSICAL MEDICINE AND REHABILITATION, PLLC
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 1900 ELECTRIC RD
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City | SALEM
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State | VA
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Zip | 24153-7474
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Country | US
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Telephone | 809-074-5734
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Fax | 602-491-9438
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Provider Business Mailing Address
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Address Line | 5046 HUNTING HILLS SQ
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City | ROANOKE
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State | VA
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Zip | 24018-8768
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Country | US
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Telephone | 480-907-4573
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Fax | 602-490-9438
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Authorized Official
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Title or Position | MANAGER
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Name | DR. SUNIL KUMAR JAIN
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Credential | MD
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Telephone | 480-907-4573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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