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General NPI Number Information
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NPI Number | 1801759667
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Entity Type | Organization
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Legal Business Name | THE VIP ROOM
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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 | 40 GENTIAN LN STE 101
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City | WATCHUNG
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State | NJ
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Zip | 07069-6223
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Country | US
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Telephone | 908-494-1858
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Fax |
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Provider Business Mailing Address
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Address Line | 40 GENTIAN LN STE 101
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City | WATCHUNG
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State | NJ
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Zip | 07069-6223
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Country | US
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Telephone | 908-494-1858
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Fax |
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Authorized Official
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Title or Position | CEO, PMU ARTIST
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Name | DARLY SILVERMAN
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Credential |
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Telephone | 908-494-1858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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