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General NPI Number Information
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NPI Number | 1437888971
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Entity Type | Organization
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Legal Business Name | SECKIN PAIN MANAGEMENT, LLC
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 20 PROSPECT AVE SUITE 602
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City | HACKENSACK
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State | NY
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Zip | 10960-1096
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Country | US
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Telephone | 201-809-3000
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Fax | 201-809-3300
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Provider Business Mailing Address
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Address Line | 2 TOMPKINS CT
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City | NYACK
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State | NY
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Zip | 10960-1225
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Country | US
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Telephone | 201-780-1511
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Fax | 201-809-3300
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALI INANC SECKIN
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Credential | MD MBA
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Telephone | 201-780-1511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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