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General NPI Number Information
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NPI Number | 1144527011
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Entity Type | Individual
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Provider Name | REHAN ALI M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/11/2011
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 1144 E RIDGEWOOD AVE FL 2
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3941
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Country | US
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Telephone | 201-336-0188
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Fax | 201-336-0141
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Provider Business Mailing Address
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Address Line | 328 MERCER LOOP
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City | JERSEY CITY
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State | NJ
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Zip | 07302-3233
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Country | US
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Telephone | 201-936-7712
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 25MA09668500
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License Number State | NJ
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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 | 25MA09668500
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License Number State | NJ
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