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General NPI Number Information
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NPI Number | 1760928030
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Entity Type | Organization
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Legal Business Name | SPINE CENTER AND ORTHOPEDIC REHABILITATION
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Dates
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Enumeration Date | 01/11/2017
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 500 GRAND AVE STE 1
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-4967
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Country | US
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Telephone | 201-567-2277
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Fax |
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Provider Business Mailing Address
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Address Line | 11 MARCOTTE LN
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City | TENAFLY
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State | NJ
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Zip | 07670-2424
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELIZABETH BAKER
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Credential |
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Telephone | 201-503-1900
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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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