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General NPI Number Information
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NPI Number | 1427001833
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE CARE ANESTHESIA SERVICES INC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 400 AUSTIN AVE NW
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City | MASSILLON
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State | OH
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Zip | 44646-3554
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Country | US
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Telephone | 330-837-7200
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Fax | 330-837-7572
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Provider Business Mailing Address
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Address Line | PO BOX 74994
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City | CLEVELAND
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State | OH
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Zip | 44194-1077
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Country | US
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Telephone | 614-430-5724
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANK NIKOLAIDIS
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Credential | DO
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Telephone | 330-837-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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