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General NPI Number Information
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NPI Number | 1821581737
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Entity Type | Organization
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Legal Business Name | NOVUS PAIN MANAGEMENT - PENNSYLVANIA LLC
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 100 ABBEYVILLE RD
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City | LANCASTER
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State | PA
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Zip | 17603-4604
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Country | US
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Telephone | 301-722-0484
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Fax | 833-903-0130
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Provider Business Mailing Address
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Address Line | 157 BALTIMORE ST STE 104
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City | CUMBERLAND
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State | MD
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Zip | 21502-2472
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Country | US
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Telephone | 301-722-0484
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Fax | 833-903-0130
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | HEATHER ROBOSSON
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Credential |
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Telephone | 301-722-0484
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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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