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General NPI Number Information
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NPI Number | 1831957414
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Entity Type | Organization
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Legal Business Name | STARK PAIN MANAGEMENT
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Dates
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Enumeration Date | 03/08/2024
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 6659 FRANK AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-7259
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Country | US
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Telephone | 330-623-7100
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Fax | 330-232-9924
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Provider Business Mailing Address
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Address Line | 6659 FRANK AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-7259
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Country | US
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Telephone | 330-623-7100
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Fax | 330-232-9924
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. FREDA SARIF
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Credential |
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Telephone | 330-623-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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