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General NPI Number Information
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NPI Number | 1073438305
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Entity Type | Organization
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Legal Business Name | ADVANCED SPINE CARE AND PAIN MANAGEMENT LLC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 100 FRANKLIN SQUARE DR STE 4
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City | SOMERSET
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State | NJ
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Zip | 08873-4109
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Country | US
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Telephone | 917-400-3941
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Fax | 718-447-7831
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Provider Business Mailing Address
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Address Line | 7 BYRNE CT
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-3786
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Country | US
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Telephone | 917-400-3941
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Fax | 718-447-7831
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAILESH S PATHARE
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Credential | MD
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Telephone | 917-400-3941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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