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NPI 1407810815

NPI 1407810815 : COMPREHENSIVE SPINE CARE, PA : WESTWOOD, NJ

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General NPI Number Information
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    NPI Number           |    1407810815
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPREHENSIVE SPINE CARE, PA 
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Dates
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    Enumeration Date     |    04/13/2006
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    Last Update Date     |    07/21/2025
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Provider Practice Location Address
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    Address Line         |    260 OLD HOOK RD STE 400 
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    City                 |    WESTWOOD
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    State                |    NJ
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    Zip                  |    07675-3123
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    Country              |    US
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    Telephone            |    201-634-1811
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    Fax                  |    201-634-9170
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Provider Business Mailing Address
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    Address Line         |    PO BOX 631 
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    City                 |    WESTWOOD
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    State                |    NJ
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    Zip                  |    07675-0631
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    Country              |    US
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    Telephone            |    201-634-1811
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    Fax                  |    201-634-9170
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. RAFAEL  LEVIN 
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    Credential           |    MD
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    Telephone            |    201-634-1811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    QA06902
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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