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General NPI Number Information
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NPI Number | 1255631685
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Entity Type | Organization
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Legal Business Name | JR MEDICAL DIAGNOSTIC PC
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 4 LYON PL
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City | WHITE PLAINS
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State | NY
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Zip | 10601-5415
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Country | US
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Telephone | 914-948-5340
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Fax | 914-948-5325
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Provider Business Mailing Address
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Address Line | 4 LYON PL
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City | WHITE PLAINS
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State | NY
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Zip | 10601-5415
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Country | US
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Telephone | 914-948-5340
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Fax | 914-948-5325
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Authorized Official
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Title or Position | OWNER
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Name | JOHN THOMAS RIGNEY
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Credential | M.D.
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Telephone | 914-948-5340
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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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