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General NPI Number Information
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NPI Number | 1821961855
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Entity Type | Organization
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Legal Business Name | THRIVE MEDICAL SERVICES PC
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 796 MOUNT PROSPECT AVE
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City | NEWARK
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State | NJ
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Zip | 07104-3223
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Country | US
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Telephone | 973-481-0501
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Fax | 862-445-8770
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Provider Business Mailing Address
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Address Line | 796 MOUNT PROSPECT AVE
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City | NEWARK
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State | NJ
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Zip | 07104-3223
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | KUMAR RAMDAS
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Credential | MD
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Telephone | 862-400-2558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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