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General NPI Number Information
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NPI Number | 1538421953
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Entity Type | Organization
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Legal Business Name | OHIO PAIN AND INJURY CENTER
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 07/05/2017
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Provider Practice Location Address
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Address Line | 1592 GOODMAN AVE
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City | CINCINNATI
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State | OH
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Zip | 45224
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Country | US
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Telephone | 513-522-7246
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Fax | 513-522-7245
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Provider Business Mailing Address
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Address Line | 1592 GOODMAN AVE
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City | CINCINNATI
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State | OH
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Zip | 45224
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Country | US
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Telephone | 513-522-7246
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Fax | 513-522-7245
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Authorized Official
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Title or Position | MANAGER
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Name | RACHELE SMITH
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Credential |
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Telephone | 248-376-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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