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General NPI Number Information
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NPI Number | 1053121293
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Entity Type | Organization
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Legal Business Name | NAHM
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 202 RTE 37 W
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City | TOMS RIVER
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State | NJ
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Zip | 08755-8055
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Country | US
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Telephone | 267-699-3075
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Fax |
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Provider Business Mailing Address
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Address Line | 404 CREEK CROSSING BLVD
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City | HAINESPORT
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State | NJ
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Zip | 08036-2768
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Country | US
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Telephone | 609-845-3988
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Fax |
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Authorized Official
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Title or Position | DIRECTOR REVENUE CYCLE
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Name | RENEE BOGDOL
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Credential |
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Telephone | 609-330-4954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine 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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