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General NPI Number Information
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NPI Number | 1548123268
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PAIN AND SPINE SPECIALISTS LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1345 UNITY PL STE 345
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City | LAFAYETTE
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State | IN
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Zip | 47905-5761
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Country | US
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Telephone | 765-807-7988
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Fax | 765-807-7989
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Provider Business Mailing Address
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Address Line | 3570 N BRIARWOOD LN
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City | MUNCIE
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State | IN
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Zip | 47304-5211
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AO
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Name | ANDREW TROBRIDGE
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Credential |
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Telephone | 765-213-6373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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