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General NPI Number Information
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NPI Number | 1689142622
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Entity Type | Organization
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Legal Business Name | REGENESPINE, LLC
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 10 ROUTE 31 N
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City | PENNINGTON
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State | NJ
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Zip | 08534-1606
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Country | US
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Telephone | 609-570-6980
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Fax | 877-732-7317
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Provider Business Mailing Address
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Address Line | 10 ROUTE 31 N
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City | PENNINGTON
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State | NJ
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Zip | 08534-1606
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Country | US
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Telephone | 609-570-6980
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Fax | 877-732-7317
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | DR. STEPHEN J. ROMAN
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Credential | MD
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Telephone | 609-570-6980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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