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General NPI Number Information
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NPI Number | 1346808045
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Entity Type | Organization
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Legal Business Name | TRI-STATE SPECIALISTS LLC
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 04/20/2025
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Provider Practice Location Address
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Address Line | 116 S EUCLID AVE STE 1
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City | WESTFIELD
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State | NJ
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Zip | 07090-2187
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Country | US
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Telephone | 908-588-2311
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Fax | 908-588-2319
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Provider Business Mailing Address
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Address Line | 116 S EUCLID AVE STE 1
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City | WESTFIELD
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State | NJ
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Zip | 07090-2187
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Country | US
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Telephone | 908-588-2311
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Fax | 908-588-2319
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Authorized Official
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Title or Position | OWNER
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Name | DR. VINAY CHOPRA
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Credential | MD
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Telephone | 908-588-2311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family 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 | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) 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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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