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General NPI Number Information
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NPI Number | 1710180450
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Entity Type | Organization
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Legal Business Name | BARRETT PAIN ASSOCIATES, INC
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 844 BOULEVARD ST
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City | DOVER
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State | OH
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Zip | 44622-2008
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Country | US
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Telephone | 330-473-6615
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Fax | 330-365-9970
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Provider Business Mailing Address
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Address Line | 844 BOULEVARD ST
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City | DOVER
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State | OH
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Zip | 44622-2008
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Country | US
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Telephone | 330-473-6615
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Fax | 330-365-9970
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHELLEY J SHANE
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Credential |
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Telephone | 330-473-6615
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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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