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General NPI Number Information
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NPI Number | 1508904699
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Entity Type | Organization
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Legal Business Name | DB INTERNAL & SPORTS MEDICINE LLC
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 901 W MAIN ST STE 267
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City | FREEHOLD
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State | NJ
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Zip | 07728-2537
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Country | US
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Telephone | 732-677-3733
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Fax | 732-677-3734
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Provider Business Mailing Address
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Address Line | 901 W MAIN ST STE 267
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City | FREEHOLD
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State | NJ
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Zip | 07728-2537
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Country | US
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Telephone | 732-677-3733
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Fax | 732-677-3734
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DHIMANT JITENDRA BALAR
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Credential | D.O.
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Telephone | 732-677-3733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation 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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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