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NPI 1306388764

NPI 1306388764 : THE PAINLESS CENTER LLC : TENAFLY, NJ

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General NPI Number Information
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    NPI Number           |    1306388764
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE PAINLESS CENTER LLC 
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Dates
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    Enumeration Date     |    11/15/2016
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    Last Update Date     |    12/16/2025
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Provider Practice Location Address
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    Address Line         |    2 DEAN DR UNIT 1N 
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    City                 |    TENAFLY
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    State                |    NJ
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    Zip                  |    07670-2765
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    Country              |    US
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    Telephone            |    201-592-7246
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    Fax                  |    201-540-9978
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Provider Business Mailing Address
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    Address Line         |    2 DEAN DR UNIT 1N 
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    City                 |    TENAFLY
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    State                |    NJ
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    Zip                  |    07670-2765
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    Country              |    US
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    Telephone            |    201-592-7246
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    Fax                  |    201-540-9978
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JASON CHI-SHIN CHIU 
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    Credential           |    M.D.
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    Telephone            |    201-592-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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Taxonomy #4
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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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