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General NPI Number Information
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NPI Number | 1962635151
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Entity Type | Organization
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Legal Business Name | OHIO VALLEY PAIN MEDICINE, PSC
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 09/03/2009
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Provider Practice Location Address
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Address Line | 1101 SAINT CHRISTOPHER DR SUITE 350
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City | ASHLAND
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State | KY
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Zip | 41101-7087
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Country | US
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Telephone | 606-836-0044
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 SAINT CHRISTOPHER DR SUITE 350
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City | ASHLAND
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State | KY
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Zip | 41101-7087
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JOSEPH DELAPA
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Credential | M.D.
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Telephone | 614-946-2665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 42539
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License Number State | KY
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