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General NPI Number Information
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NPI Number | 1164699955
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Entity Type | Individual
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Provider Name | NINGNING HE MD
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Gender | Female
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 2040 MILLBURN AVE STE 104
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-3716
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Country | US
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Telephone | 908-242-3688
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Fax | 908-242-3902
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Provider Business Mailing Address
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Address Line | 2040 MILLBURN AVE STE 201
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-3716
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Country | US
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Telephone | 908-723-6901
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Fax | 908-242-3902
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA08392000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA08392000
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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 | 25MA08392000
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License Number State | NJ
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