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General NPI Number Information
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NPI Number | 1811703770
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Entity Type | Organization
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Legal Business Name | PAIN X ORTHO SPECIALISTS
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 1527 ROUTE 27 SUITE 2800
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City | SOMERSET
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State | NJ
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Zip | 08873
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Country | US
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Telephone | 646-775-0812
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Fax |
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Provider Business Mailing Address
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Address Line | 98 WINDSOR DR
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City | PINE BROOK
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State | NJ
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Zip | 07058-9654
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Country | US
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Telephone | 646-775-0812
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SACHIN K SHAH
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Credential | MD
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Telephone | 646-775-0812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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