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General NPI Number Information
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NPI Number | 1093635443
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Entity Type | Organization
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Legal Business Name | FREEHOLD IMAGING CENTER LLC
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 900 W MAIN ST STE 10
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City | FREEHOLD
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State | NJ
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Zip | 07728-2523
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Country | US
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Telephone | 718-288-5575
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Fax |
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Provider Business Mailing Address
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Address Line | 900 W MAIN ST STE 10
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City | FREEHOLD
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State | NJ
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Zip | 07728-2523
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Country | US
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Telephone | 718-288-5575
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ARKADIY GITELMAN
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Credential | ADMINISTRATOR
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Telephone | 718-288-5575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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