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General NPI Number Information
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NPI Number | 1184656829
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Entity Type | Organization
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Legal Business Name | HUDSON RIVER RADIOLOGY CENTER LLC
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 120-152 48TH STREET
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City | UNION CITY
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State | NJ
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Zip | 07087
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Country | US
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Telephone | 201-330-1606
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Fax | 201-330-7622
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Provider Business Mailing Address
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Address Line | PO BOX 1814
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632
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Country | US
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Telephone | 201-656-5050
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Fax | 800-706-0381
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FERAS JALOUDI
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Credential |
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Telephone | 201-656-5050
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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 | 23951
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 23951
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License Number State | NJ
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