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General NPI Number Information
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NPI Number | 1447271689
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Entity Type | Organization
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Legal Business Name | NEW JERSEY SPINAL MEDICINE AND SURGERY, P.A.
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 113 W ESSEX ST STE 201
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City | MAYWOOD
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State | NJ
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Zip | 07607-1023
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Country | US
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Telephone | 201-251-7725
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Fax | 201-251-2599
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Provider Business Mailing Address
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Address Line | 113 W ESSEX ST STE 201
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City | MAYWOOD
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State | NJ
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Zip | 07607-1023
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Country | US
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Telephone | 201-251-7725
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Fax | 201-251-2599
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LANIE DUFFEY
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Credential |
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Telephone | 201-251-7725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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