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General NPI Number Information
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NPI Number | 1922074822
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY PAIN MANAGEMENT, PA
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | 97 W PARKWAY
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City | POMPTON PLAINS
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State | NJ
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Zip | 07444-1647
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Country | US
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Telephone | 973-831-5093
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 416810
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City | BOSTON
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State | MA
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Zip | 02241-6810
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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 | GILBERT L DROZDOW
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Credential | MD
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Telephone | 954-838-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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