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General NPI Number Information
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NPI Number | 1902025885
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Entity Type | Organization
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Legal Business Name | ADVANCED PAIN MANAGEMENT SPECIALISTS, PC
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 303 BELMONT AVE
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City | BELLEVILLE
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State | NJ
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Zip | 07109-1103
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Country | US
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Telephone | 973-844-1157
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Fax | 973-844-1162
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Provider Business Mailing Address
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Address Line | 24 DOGWOOD CT
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City | WEST PATERSON
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State | NJ
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Zip | 07424-3713
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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 | PRESIDENT
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Name | DR. AMGAD ALY HESSEIN
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Credential | MD
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Telephone | 973-844-1157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA67650
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License Number State | NJ
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