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General NPI Number Information
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NPI Number | 1407772460
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Entity Type | Organization
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Legal Business Name | MAIN PSYCHIATRY GROUP LLC
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 271 RTE 46 W STE A208
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City | FAIRFIELD
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State | NJ
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Zip | 07004-2400
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Country | US
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Telephone | 973-303-1054
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HOBOKEN AVE APT 309
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City | JERSEY CITY
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State | NJ
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Zip | 07310-1157
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Country | US
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Telephone | 973-303-1054
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. ORRIN PAUL MAIN
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Credential | MD
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Telephone | 973-303-1054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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