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General NPI Number Information
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NPI Number | 1902976699
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Entity Type | Organization
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Legal Business Name | J&K PAIN MANAGEMENT COMPANY LLC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 9002 MENTOR AVE
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City | MENTOR
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State | OH
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Zip | 44060-6302
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Country | US
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Telephone | 440-306-2358
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Fax | 440-306-2359
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Provider Business Mailing Address
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Address Line | 9002 MENTOR AVE
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City | MENTOR
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State | OH
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Zip | 44060-6302
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Country | US
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Telephone | 440-306-2358
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Fax | 440-306-2359
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Authorized Official
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Title or Position | OWNER
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Name | EMAD A. MIKHAIL
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Credential | MD
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Telephone | 440-306-2358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35075570-M
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License Number State | OH
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