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General NPI Number Information
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NPI Number | 1679182265
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Entity Type | Organization
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Legal Business Name | CHIU PAIN MEDICINE PC
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Dates
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Enumeration Date | 07/29/2020
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 24524 HORACE HARDING EXPY
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City | DOUGLASTON
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State | NY
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Zip | 11362-2059
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Country | US
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Telephone | 201-540-9978
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 227
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City | FORT LEE
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State | NJ
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Zip | 07024-0227
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Country | US
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Telephone | 201-592-7246
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Fax | 201-540-9978
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ERICA LOUGHLIN
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Credential |
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Telephone | 201-592-7246
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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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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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