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General NPI Number Information
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NPI Number | 1215105572
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Entity Type | Organization
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Legal Business Name | JERSEY RADIOLOGY ASSOCIATES LLC
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 29TH STREET AT AVENUE E
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City | BAYONNE
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State | NJ
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Zip | 07002
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Country | US
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Telephone | 609-892-8979
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Fax | 610-956-0009
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Provider Business Mailing Address
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Address Line | 1651 W FRONT ST PO BOX 468
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City | BERWICK
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State | PA
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Zip | 18603-4202
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Country | US
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Telephone | 610-956-0003
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Fax | 610-956-0009
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES H BROWN JR.
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Credential | MD
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Telephone | 609-892-8979
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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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