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General NPI Number Information
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NPI Number | 1467244137
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Entity Type | Organization
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Legal Business Name | PRINCETON BRAIN & SPINE, LLC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 558 LAWRENCE SQUARE BLVD S
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2674
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Country | US
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Telephone | 609-921-9001
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Fax |
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Provider Business Mailing Address
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Address Line | 731 ALEXANDER RD STE 200
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City | PRINCETON
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State | NJ
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Zip | 08540-6345
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Country | US
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Telephone | 609-921-9001
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | NIRAV SHAH
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Credential | MD
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Telephone | 609-921-9001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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