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General NPI Number Information
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NPI Number | 1154117349
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Entity Type | Organization
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Legal Business Name | MAXIM BRAIN AND SPINE
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 80 RIVER ST STE 305
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City | HOBOKEN
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State | NJ
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Zip | 07030-5619
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Country | US
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Telephone | 973-206-1477
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Fax |
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Provider Business Mailing Address
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Address Line | 90 MATAWAN RD STE 302
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City | MATAWAN
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State | NJ
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Zip | 07747-2653
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Country | US
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Telephone | 732-812-0281
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. SCOTT ANDREW MEYER
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Credential |
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Telephone | 917-628-4987
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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