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General NPI Number Information
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NPI Number | 1891848776
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL ANESTHESIA ASSOCIATES, INC.
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 408 GLESSNER AVE
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City | MANSFIELD
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State | OH
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Zip | 44903-2136
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Country | US
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Telephone | 419-756-4004
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Fax | 419-756-4060
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Provider Business Mailing Address
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Address Line | 605 S TRIMBLE RD STE B
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City | MANSFIELD
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State | OH
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Zip | 44906-4112
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Country | US
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Telephone | 419-756-4004
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Fax | 419-756-4060
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES R WOLFE
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Credential | MD
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Telephone | 419-756-4004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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