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General NPI Number Information
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NPI Number | 1851273783
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Entity Type | Organization
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Legal Business Name | RJB MEDICAL, PC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 220 5TH AVE 11TH FL SUITE 24
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City | NEW YORK
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State | NY
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Zip | 10001-7708
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Country | US
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Telephone | 909-442-4965
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Fax |
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Provider Business Mailing Address
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Address Line | 169 MADISON AVE STE 15824
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City | NEW YORK
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State | NY
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Zip | 10016-5101
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Country | US
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Telephone | 909-679-3482
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Fax |
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Authorized Official
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Title or Position | COO
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Name | LISA KENNEDY
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Credential |
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Telephone | 212-620-3053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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