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General NPI Number Information
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NPI Number | 1619817236
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Entity Type | Organization
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Legal Business Name | A LIFE WITHOUT PAIN NJ PC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 125 RIVER RD
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City | EDGEWATER
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State | NJ
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Zip | 07020-1002
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Country | US
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Telephone | 713-201-3607
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Fax | 347-296-3960
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Provider Business Mailing Address
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Address Line | 125 RIVER RD
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City | EDGEWATER
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State | NJ
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Zip | 07020-1002
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Country | US
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Telephone | 713-201-3607
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Fax | 347-296-3960
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Authorized Official
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Title or Position | OWNER
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Name | GLENN BABUS
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Credential | DO
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Telephone | 713-201-3607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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