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General NPI Number Information
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NPI Number | 1124501689
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Entity Type | Organization
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Legal Business Name | SAMWELL INSTITUTE OF PAIN MANAGEMENT LLC
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Dates
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Enumeration Date | 09/11/2018
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 1503 SAINT GEORGES AVE
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City | COLONIA
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State | NJ
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Zip | 07067-3425
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Country | US
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Telephone | 732-276-2494
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Fax |
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Provider Business Mailing Address
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Address Line | 1503 SAINT GEORGES AVE
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City | COLONIA
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State | NJ
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Zip | 07067-3425
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Country | US
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Telephone | 732-276-2494
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | KARELIA LOVELACE
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Credential |
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Telephone | 322-762-4947
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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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