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General NPI Number Information
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NPI Number | 1295698017
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Entity Type | Organization
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Legal Business Name | NOVUS PAIN MANAGEMENT - MARYLAND, LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1900 ROSEMONT AVE
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City | FREDERICK
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State | MD
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Zip | 21702-8249
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Country | US
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Telephone | 301-722-0484
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Fax | 833-903-0130
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Provider Business Mailing Address
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Address Line | 157 BALTIMORE ST STE 100
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City | CUMBERLAND
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State | MD
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Zip | 21502-2472
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Country | US
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Telephone | 301-722-0484
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Fax | 833-903-0130
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | HEATHER ROBOSSON
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Credential |
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Telephone | 240-727-3995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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