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General NPI Number Information
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NPI Number | 1386976231
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Entity Type | Organization
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Legal Business Name | INTEGRATED PAIN MANAGEMENT & REHAB LLC
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 04/21/2010
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Provider Practice Location Address
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Address Line | 438 COMMONS WAY BLDG D
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City | TOMS RIVER
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State | NJ
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Zip | 08755-6428
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Country | US
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Telephone | 732-797-1771
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Fax | 732-797-1818
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Provider Business Mailing Address
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Address Line | 438 COMMONS WAY BLDG D
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City | TOMS RIVER
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State | NJ
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Zip | 08755-6428
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Country | US
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Telephone | 732-797-1771
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Fax | 732-797-1818
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | DR. BARRY H RIZZO JR.
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Credential | DC
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Telephone | 732-797-1771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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