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General NPI Number Information
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NPI Number | 1336393537
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Entity Type | Organization
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Legal Business Name | DELAWARE VALLEY PAIN INSTITUTE LLC
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Dates
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Enumeration Date | 11/14/2008
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Last Update Date | 12/16/2008
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Provider Practice Location Address
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Address Line | 1804 BERLIN RD
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3736
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Country | US
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Telephone | 856-489-3300
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Fax | 856-489-3477
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Provider Business Mailing Address
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Address Line | 1804 BERLIN RD
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3736
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Country | US
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Telephone | 856-489-3300
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Fax | 856-489-3477
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Authorized Official
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Title or Position | DOCTOR
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Name | ALAN D CARR
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Credential | D.O.
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Telephone | 856-489-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 25MB04703700
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License Number State | NJ
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