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General NPI Number Information
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NPI Number | 1699638494
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Entity Type | Organization
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Legal Business Name | NORTH JERSEY SPINE AND ORTHOPEDIC PAIN CENTER
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 590 NEWARK AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07306-2348
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Country | US
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Telephone | 201-420-1165
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Fax | 201-420-6893
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Provider Business Mailing Address
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Address Line | 140 ARNOT ST
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City | LODI
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State | NJ
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Zip | 07644-1130
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Country | US
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Telephone | 201-803-8900
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Fax | 973-767-1330
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL MANNO
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Credential | DC
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Telephone | 201-803-8900
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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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