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General NPI Number Information
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NPI Number | 1811788953
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Entity Type | Organization
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Legal Business Name | MY VEIN CARE LLC
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 225 MILLBURN AVE STE 102
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City | MILLBURN
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State | NJ
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Zip | 07041-1712
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Country | US
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Telephone | 973-317-3586
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Fax |
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Provider Business Mailing Address
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Address Line | 48 S BROADWAY UNIT 991
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City | NYACK
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State | NY
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Zip | 10960-7590
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Country | US
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Telephone | 973-317-3586
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | AMIT GOSWAMI
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Credential | MD
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Telephone | 646-620-6415
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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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