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General NPI Number Information
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NPI Number | 1831002138
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Entity Type | Organization
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Legal Business Name | ALIVEDRIP LONGEVITY LLC
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Dates
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Enumeration Date | 09/26/2026
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Last Update Date | 09/26/2026
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Provider Practice Location Address
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Address Line | 255 ROUTE 3 STE 105
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City | SECAUCUS
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State | NJ
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Zip | 07094-3857
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Country | US
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Telephone | 551-383-2425
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Fax |
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Provider Business Mailing Address
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Address Line | 255 ROUTE 3 STE 105
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City | SECAUCUS
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State | NJ
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Zip | 07094-3857
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Country | US
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Telephone | 551-383-2425
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | DR. HOMAM BADRI
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Credential | DPM
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Telephone | 973-330-7444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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