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General NPI Number Information
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NPI Number | 1154324234
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Entity Type | Individual
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Provider Name | ROSS LOUIS NOCHIMSON D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 1187 MAIN AVE STE 3F
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City | CLIFTON
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State | NJ
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Zip | 07011-2252
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Country | US
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Telephone | 973-600-5687
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Fax | 877-775-3167
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Provider Business Mailing Address
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Address Line | PO BOX 2756
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City | CLIFTON
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State | NJ
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Zip | 07015-2756
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Country | US
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Telephone | 973-219-6516
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Fax | 877-936-7158
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 5101018041
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License Number State | MI
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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 | MB068037
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 214784-1
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License Number State | NY
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