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General NPI Number Information
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NPI Number | 1942041207
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Entity Type | Organization
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Legal Business Name | BRAIN WELLNESS MD LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 22 OLD SHORT HILLS RD STE 106
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5605
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Country | US
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Telephone | 267-879-7706
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Fax | 800-557-3140
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Provider Business Mailing Address
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Address Line | 422 MORRIS AVE
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City | SUMMIT
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State | NJ
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Zip | 07901-1522
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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 | PHYSICIAN / OWNER
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Name | DR. URI NAPCHAN
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Credential | MD
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Telephone | 267-879-7706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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