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General NPI Number Information
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NPI Number | 1750513867
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PAIN MANAGEMENT & ELECTRODIAGNOSTICS, LLC
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Dates
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Enumeration Date | 08/23/2009
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Last Update Date | 08/23/2009
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Provider Practice Location Address
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Address Line | 80 N PORTAGE PATH #PH7
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City | AKRON
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State | OH
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Zip | 44303-1144
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Country | US
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Telephone | 216-280-3463
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Fax | 740-382-1030
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Provider Business Mailing Address
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Address Line | PO BOX 35938
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City | CANTON
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State | OH
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Zip | 44735-5938
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Country | US
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Telephone | 216-280-3463
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Fax | 740-382-1030
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | DR. HARSH GOVIL
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Credential | M.D.
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Telephone | 216-280-3463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 35.089725
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License Number State | OH
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