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General NPI Number Information
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NPI Number | 1508221730
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Entity Type | Organization
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Legal Business Name | EMPIRE INTERVENTIONAL PAIN, PC
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 119 W 57TH ST SUITE 717
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City | NEW YORK
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State | NY
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Zip | 10019-2303
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Country | US
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Telephone | 646-330-5455
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 QUENTIN RD 5K
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City | BROOKLYN
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State | NY
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Zip | 11229-1343
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JOSEPH HADI
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Credential | MD
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Telephone | 646-330-5455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 270398
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License Number State | NY
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