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General NPI Number Information
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NPI Number | 1528932514
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Entity Type | Organization
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Legal Business Name | VITAL SPINE & PAIN SPECIALISTS PC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 711 COURTYARD DR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4257
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Country | US
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Telephone | 908-845-9781
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Fax |
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Provider Business Mailing Address
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Address Line | 31 WALKER DR
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City | PRINCETON
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State | NJ
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Zip | 08540-2325
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Country | US
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Telephone | 617-504-2407
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. MANISHA CHAHAL
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Credential | MD
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Telephone | 908-845-9781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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