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General NPI Number Information
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NPI Number | 1154731933
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Entity Type | Organization
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Legal Business Name | OASIS SPINE & PAIN INSTITUTE LLC
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 05/02/2014
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Provider Practice Location Address
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Address Line | 1117 ROUTE 46 SUITE 201
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City | CLIFTON
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State | NJ
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Zip | 07013-2449
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Country | US
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Telephone | 973-777-5444
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Fax | 973-777-0304
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Provider Business Mailing Address
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Address Line | 1117 ROUTE 46 SUITE 201
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City | CLIFTON
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State | NJ
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Zip | 07013-2449
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Country | US
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Telephone | 973-777-5444
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Fax | 973-777-0304
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Authorized Official
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Title or Position | MD
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Name | DR. NEIL SINHA
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Credential | M.D.
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Telephone | 973-777-5444
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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 | 25MA09083900
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License Number State | NJ
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