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General NPI Number Information
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NPI Number | 1982690715
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Entity Type | Individual
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Provider Name | KULBIR WALIA MD
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Gender | Male
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 160 AVENUE AT THE CMN SUITE 1
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City | SHREWSBURY
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State | NJ
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Zip | 07702
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Country | US
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Telephone | 732-380-0200
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Fax | 732-380-0262
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Provider Business Mailing Address
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Address Line | 1200 E RIDGEWOOD AVE STE 200
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3937
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Country | US
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Telephone | 201-327-8600
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Fax |
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 25MA06773900
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License Number State | NJ
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