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General NPI Number Information
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NPI Number | 1457344392
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Entity Type | Organization
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Legal Business Name | NORTHCOAST PAIN MANAGEMENT ASSOCIATES, INC
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 25200 CENTER RIDGE RD STE 3400
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City | WESTLAKE
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State | OH
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Zip | 44145-4145
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Country | US
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Telephone | 440-331-4559
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Fax | 440-331-4843
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Provider Business Mailing Address
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Address Line | PO BOX 45092
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City | WESTLAKE
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State | OH
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Zip | 44145-0092
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Country | US
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Telephone | 440-331-4559
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | EMAN F SALLOUHA
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Credential |
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Telephone | 440-360-7967
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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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