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General NPI Number Information
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NPI Number | 1881866770
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PAIN MANAGEMENT-ANESTHESIA SERVICES, P.C.
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 408 7TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11215-5012
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Country | US
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Telephone | 718-832-0885
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Fax | 718-832-2028
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Provider Business Mailing Address
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Address Line | 920 BROADWAY SUITE 702
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City | NEW YORK
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State | NY
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Zip | 10010-8015
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Country | US
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Telephone | 646-602-8030
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Fax | 646-602-9154
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARY P. THOMAS
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Credential | M.D.
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Telephone | 646-602-8030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology 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 | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 207LH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Anesthesiology) Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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Taxonomy #5
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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Taxonomy #6
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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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