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General NPI Number Information
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NPI Number | 1457442501
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Entity Type | Organization
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Legal Business Name | OHIO PAIN SERVICES, INC.
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 970 E WASHINGTON ST SUITE 203
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City | MEDINA
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State | OH
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Zip | 44256-3332
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Country | US
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Telephone | 330-723-7246
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Fax | 330-725-7855
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Provider Business Mailing Address
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Address Line | 970 E WASHINGTON ST SUITE 203
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City | MEDINA
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State | OH
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Zip | 44256-3332
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Country | US
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Telephone | 330-723-7246
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Fax | 330-725-7855
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Authorized Official
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Title or Position | DIRECTOR OF PAIN SERVICES
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Name | DR. TERENCE JOHN ROSS
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Credential | D.O.
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Telephone | 330-723-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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