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General NPI Number Information
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NPI Number | 1144549478
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Entity Type | Organization
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Legal Business Name | OCEAN MEDICAL IMAGING ASSOCIATES
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Dates
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Enumeration Date | 05/26/2010
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Last Update Date | 05/26/2010
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Provider Practice Location Address
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Address Line | 9 MULE RD
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City | TOMS RIVER
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State | NJ
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Zip | 08755-5043
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Country | US
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Telephone | 732-286-6333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 403318
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City | ATLANTA
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State | GA
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Zip | 30384-3318
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Country | US
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Telephone | 732-286-6333
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOSEPH TRIOLO
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Credential |
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Telephone | 732-286-6333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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