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General NPI Number Information
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NPI Number | 1194980094
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Entity Type | Organization
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Legal Business Name | ADVANCED SPINAL MEDICINE AND REHABILITATION SERVICES, P.C.
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 66 SUNSET STRIP STE 309
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1362
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Country | US
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Telephone | 973-584-4171
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Fax |
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Provider Business Mailing Address
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Address Line | 66 SUNSET STRIP STE 309
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1362
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Country | US
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Telephone | 973-584-4171
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER FERRARO
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Credential |
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Telephone | 973-584-4170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine 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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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