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General NPI Number Information
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NPI Number | 1902140577
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Entity Type | Organization
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Legal Business Name | OXFORD VALLEY PAIN AND SURGICAL CENTER INC
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Dates
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Enumeration Date | 11/20/2012
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 310 MIDDLETOWN BLVD SUITE 200
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City | LANGHORNE
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State | PA
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Zip | 19047
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Country | US
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Telephone | 215-741-4410
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Fax | 215-741-4470
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Provider Business Mailing Address
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Address Line | 310 MIDDLETOWN BLVD SUITE 200
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City | LANGHORNE
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State | PA
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Zip | 19047
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Country | US
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Telephone | 215-741-4410
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Fax | 215-741-4470
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. SUNJAY M. MADNANI
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Credential | M.D.
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Telephone | 215-741-4410
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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 | MD431889
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License Number State | PA
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