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General NPI Number Information
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NPI Number | 1396140828
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Entity Type | Organization
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Legal Business Name | RARITAN BAY DIAGNOSTIC IMAGING
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 551 NEW BRUNSWICK AVE
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City | PERTH AMBOY
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State | NJ
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Zip | 08861-3658
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Country | US
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Telephone | 732-442-0830
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Fax |
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Provider Business Mailing Address
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Address Line | 551 NEW BRUNSWICK AVE
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City | PERTH AMBOY
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State | NJ
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Zip | 08861-3658
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Country | US
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Telephone | 732-442-0830
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. IMRAN ANSARI
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Credential |
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Telephone | 732-666-7206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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