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General NPI Number Information
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NPI Number | 1316092364
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Entity Type | Organization
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Legal Business Name | JAH RADIOLOGY PA
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 06/27/2013
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Provider Practice Location Address
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Address Line | 36 NEWARK AVE SUITE 100
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City | BELLEVILLE
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State | NJ
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Zip | 07109-4119
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Country | US
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Telephone | 973-844-4170
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Fax | 973-844-4192
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Provider Business Mailing Address
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Address Line | 36 NEWARK AVE SUITE 100
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City | BELLEVILLE
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State | NJ
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Zip | 07109-4119
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Country | US
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Telephone | 973-844-4170
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Fax | 973-844-4192
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES A HEIMANN
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Credential | MD
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Telephone | 973-751-2011
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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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