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General NPI Number Information
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NPI Number | 1457699530
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Entity Type | Organization
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Legal Business Name | TRI COUNTY PAIN MANAGEMENT, INC
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Dates
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Enumeration Date | 01/23/2013
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Last Update Date | 01/28/2013
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Provider Practice Location Address
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Address Line | 1927 MAYSVILLE AVE #1
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City | ZANESVILLE
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State | OH
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Zip | 43701-5755
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Country | US
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Telephone | 740-454-4123
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Fax |
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Provider Business Mailing Address
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Address Line | 1927 MAYSVILLE AVE #1
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City | ZANESVILLE
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State | OH
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Zip | 43701-5755
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Country | US
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Telephone | 740-454-4123
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW STIEGLER
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Credential | D.C.
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Telephone | 740-454-4123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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