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General NPI Number Information
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NPI Number | 1578962882
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PAIN SPECIALISTS, PLLC
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Dates
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Enumeration Date | 08/22/2014
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 5154 MILLER RD UNITS 3 & 4
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City | FLINT
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State | MI
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Zip | 48507-1065
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Country | US
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Telephone | 989-249-1922
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Fax | 989-249-0227
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Provider Business Mailing Address
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Address Line | 4450 FASHION SQUARE BLVD
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City | SAGINAW
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State | MI
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Zip | 48603-1251
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Country | US
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Telephone | 989-249-1922
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Fax | 989-249-0227
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | JANET PAPST
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Credential |
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Telephone | 989-249-1922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 23D2080211
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License Number State | MI
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