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General NPI Number Information
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NPI Number | 1952095176
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Entity Type | Organization
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Legal Business Name | ATLANTIC BRAIN AND SPINE LLC
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 465 SOUTH ST STE 200
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6439
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Country | US
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Telephone | 973-971-7225
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Fax | 973-898-3905
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Provider Business Mailing Address
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Address Line | 465 SOUTH ST STE 200
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6439
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Country | US
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Telephone | 973-971-7225
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Fax | 973-898-3905
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Authorized Official
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Title or Position | DIRECTOR, AMBULATORY VENTURES
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Name | BRUCE DILLON
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Credential |
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Telephone | 973-971-7225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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