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General NPI Number Information
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NPI Number | 1750755138
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PAIN SOLUTIONS OF NEW JERSEY, P.C.
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Dates
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Enumeration Date | 11/22/2015
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 1123 CAMPUS DR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1261
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Country | US
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Telephone | 856-334-9600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4160
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City | CHERRY HILL
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State | NJ
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Zip | 08034-0630
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Country | US
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Telephone | 856-334-9600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | UCHE ENEANYA
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Credential | M.D.
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Telephone | 856-334-9600
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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 | MA08900600
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License Number State | NJ
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