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General NPI Number Information
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NPI Number | 1760812952
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Entity Type | Organization
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Legal Business Name | ADVANCED PAIN MANAGEMENT INSTITUTE, LLC
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Dates
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Enumeration Date | 11/25/2013
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Last Update Date | 12/30/2013
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Provider Practice Location Address
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Address Line | 4368 DRESSLER RD NW SUITE 201A
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City | CANTON
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State | OH
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Zip | 44718-2771
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Country | US
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Telephone | 330-915-2225
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Fax | 330-915-2205
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Provider Business Mailing Address
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Address Line | PO BOX 35488
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City | CANTON
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State | OH
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Zip | 44735-5488
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Country | US
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Telephone | 330-915-2225
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Fax | 330-915-2205
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ADEL ZAKARI
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Credential | M.D.
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Telephone | 216-926-8368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 35.088961
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License Number State | OH
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