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General NPI Number Information
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NPI Number | 1922056936
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Entity Type | Individual
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Provider Name | HARRIS NATHAN BRAM MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1901 HOOPER AVE STE A
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City | TOMS RIVER
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State | NJ
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Zip | 08753-1600
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Country | US
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Telephone | 732-720-0247
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Fax |
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Provider Business Mailing Address
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Address Line | 90 MATAWAN RD STE 302
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City | MATAWAN
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State | NJ
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Zip | 07747-2653
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Country | US
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Telephone | 732-441-7177
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Fax | 732-441-7165
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 25MA05733400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA05733400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 25MA05733400
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License Number State | NJ
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