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General NPI Number Information
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NPI Number | 1568154128
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Entity Type | Organization
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Legal Business Name | DR. STEFAN TRNOVSKI INTERVENTIONAL PAIN MANAGEMENT, LLC
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Dates
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Enumeration Date | 05/23/2023
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 1373 BROAD ST STE 310
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City | CLIFTON
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State | NJ
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Zip | 07013-4231
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Country | US
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Telephone | 862-377-7090
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Fax | 862-238-8228
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Provider Business Mailing Address
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Address Line | 1373 BROAD ST STE 310
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City | CLIFTON
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State | NJ
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Zip | 07013-4231
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Country | US
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Telephone | 862-377-7090
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Fax | 862-238-8228
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Authorized Official
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Title or Position | OWNER
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Name | STEFAN TRNOVSKI
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Credential |
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Telephone | 862-377-7090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery 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 | 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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