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General NPI Number Information
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NPI Number | 1841506250
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Entity Type | Organization
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Legal Business Name | JON PAUL DADAIAN P.C.
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Dates
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Enumeration Date | 08/23/2010
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Last Update Date | 08/23/2010
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Provider Practice Location Address
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Address Line | 434 MAIN AVE
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City | WALLINGTON
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State | NJ
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Zip | 07057-1830
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Country | US
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Telephone | 973-365-5844
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Fax | 973-365-5811
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Provider Business Mailing Address
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Address Line | 434 MAIN AVE
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City | WALLINGTON
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State | NJ
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Zip | 07057-1830
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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 | CHAIRMAN/OWNER
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Name | DR. JON-PAUL DADAIAN
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Credential | M.D
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Telephone | 973-365-5844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 25MA08092000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 25MA08092000
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License Number State | NJ
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