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General NPI Number Information
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NPI Number | 1245257286
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Entity Type | Organization
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Legal Business Name | CANFIELD MEDICAL IMAGING ASSOCIATES, PA
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 343 PASSAIC AVE SUITE C
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City | FAIRFIELD
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State | NJ
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Zip | 07004-2003
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Country | US
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Telephone | 973-227-2308
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Fax | 973-227-3475
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Provider Business Mailing Address
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Address Line | 343 PASSAIC AVE SUITE C
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City | FAIRFIELD
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State | NJ
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Zip | 07004-2003
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Country | US
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Telephone | 973-227-2308
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Fax | 973-227-3475
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Authorized Official
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Title or Position | CEO
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Name | MRS. SUE YEH
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Credential |
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Telephone | 973-227-2308
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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 | 23184
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License Number State | NJ
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