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General NPI Number Information
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NPI Number | 1215756432
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Entity Type | Organization
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Legal Business Name | DIKENGIL RADIOLOGY ASSOCIATES, P.C.
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Dates
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Enumeration Date | 10/04/2024
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 115 ROUTE 46 W STE D25-26
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046-1668
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Country | US
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Telephone | 973-265-8230
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Fax |
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Provider Business Mailing Address
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Address Line | 115 ROUTE 46 W STE D25-26
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046-1668
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Country | US
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Telephone | 973-265-8230
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ASIM G DIKENGIL
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Credential | MD
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Telephone | 201-956-2108
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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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