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General NPI Number Information
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NPI Number | 1346495900
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Entity Type | Organization
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Legal Business Name | HUNTINGTON CENTER FOR PAIN TREATMENT, LLP
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 09/18/2009
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Provider Practice Location Address
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Address Line | 775 PARK AVE SUITE 340
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City | HUNTINGTON
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State | NY
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Zip | 11743-3976
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Country | US
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Telephone | 631-351-2626
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Fax | 631-351-2783
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Provider Business Mailing Address
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Address Line | PO BOX 4168
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City | HUNTINGTON
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State | NY
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Zip | 11743-0779
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SELF / OWNER
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Name | DR. NOLAN TZOU
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Credential | MD
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Telephone | 631-351-2626
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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 | 186571-1
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License Number State | NY
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