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General NPI Number Information
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NPI Number | 1447800271
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Entity Type | Organization
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Legal Business Name | NORTHERN NEW JERSEY SPINE AND REHABILITATION LLC
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Dates
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Enumeration Date | 09/13/2019
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 100 TOWN SQUARE PL STE 405
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City | JERSEY CITY
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State | NJ
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Zip | 07310-2778
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Country | US
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Telephone | 888-589-8550
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Fax | 201-604-6571
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Provider Business Mailing Address
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Address Line | PO BOX 22793
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City | NEW YORK
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State | NY
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Zip | 10087-2793
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Country | US
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Telephone | 201-484-7620
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Fax | 201-484-7620
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAROON CHAUDHRY
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Credential |
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Telephone | 888-589-8550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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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 | 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 #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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