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General NPI Number Information
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NPI Number | 1407806102
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Entity Type | Organization
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Legal Business Name | TRENTON OSTEOPATHIC RADIOLOGY ASSOCIATES, PC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 1676 FORT ST
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City | TRENTON
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State | MI
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Zip | 48183-2003
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Country | US
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Telephone | 734-362-0900
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Fax | 734-362-0911
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Provider Business Mailing Address
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Address Line | PO BOX 72287
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City | CLEVELAND
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State | OH
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Zip | 44192-0002
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Country | US
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Telephone | 248-668-3085
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Fax | 248-449-7103
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPHINE J FINAZZO
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Credential | DO
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Telephone | 734-362-0900
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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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