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NPI 1083808901

NPI 1083808901 : HUNTERDON RADIOLOGICAL ASSOCIATES, P.A. : FLEMINGTON, NJ

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General NPI Number Information
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    NPI Number           |    1083808901
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUNTERDON RADIOLOGICAL ASSOCIATES, P.A. 
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Dates
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    Enumeration Date     |    09/04/2007
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    Last Update Date     |    07/01/2013
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Provider Practice Location Address
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    Address Line         |    2100 WESCOTT DR DEPARTMENT OF MEDICAL IMAGING
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    City                 |    FLEMINGTON
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    State                |    NJ
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    Zip                  |    08822-4603
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    Country              |    US
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    Telephone            |    908-788-6640
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5388 
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    City                 |    CLINTON
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    State                |    NJ
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    Zip                  |    08809-0388
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    Country              |    US
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    Telephone            |    908-806-2635
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    Fax                  |    908-782-4560
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Authorized Official
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    Title or Position    |    CAO
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    Name                 |    MS. MARY ELLEN  HALPIN 
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    Credential           |    
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    Telephone            |    908-806-2635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0206X
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    Taxonomy Name        |    Mammography Clinic/Center
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    License Number       |    
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    License Number State |    
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