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General NPI Number Information
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NPI Number | 1699825927
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Entity Type | Organization
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Legal Business Name | TOTAL PAIN CARE, P.A.
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 630 E PALISADE AVE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-1842
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Country | US
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Telephone | 201-503-1522
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Fax | 201-503-1514
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Provider Business Mailing Address
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Address Line | PO BOX 1593
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City | SECAUCUS
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State | NJ
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Zip | 07096-1593
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Country | US
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Telephone | 201-635-1003
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Fax | 201-635-1332
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BRIDGET CHAMPINO
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Credential |
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Telephone | 201-635-1003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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