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General NPI Number Information
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NPI Number | 1780930750
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Entity Type | Individual
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Provider Name | JACOB REUBEN HASCALOVICI M.D, PH.D
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Gender | Male
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 650 FROM RD STE 506
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City | PARAMUS
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State | NJ
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Zip | 07652-3517
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Country | US
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Telephone | 551-996-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 ROUTE 66 FL 3
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City | NEPTUNE
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State | NJ
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Zip | 07753-2645
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Country | US
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Telephone | 732-807-0877
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | 285385
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | 25MA11996400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MA11996400
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License Number State | NJ
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