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General NPI Number Information
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NPI Number | 1255298188
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Entity Type | Organization
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Legal Business Name | NJ PAIN MED
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 20 MEADOWLANDS PKWY
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City | SECAUCUS
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State | NJ
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Zip | 07094-2944
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Country | US
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Telephone | 201-381-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 20 MEADOWLANDS PKWY
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City | SECAUCUS
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State | NJ
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Zip | 07094-2944
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Country | US
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Telephone | 201-381-4800
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | HETAL RAO
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Credential | RT
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Telephone | 201-289-1790
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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