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General NPI Number Information
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NPI Number | 1447466396
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Entity Type | Organization
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Legal Business Name | AHS HOSPITAL GROUP
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 MADISON AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6136
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Country | US
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Telephone | 973-971-6763
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Fax |
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Provider Business Mailing Address
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Address Line | 201 SAINT PAULS AVE APT 9M
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City | JERSEY CITY
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State | NJ
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Zip | 07306-3760
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Country | US
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Telephone | 973-971-6763
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Fax |
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Authorized Official
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Title or Position | RADIOLOGY RESIDENT
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Name | MAXIMILIAN KHATIBI
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Credential | MD
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Telephone | 973-971-6763
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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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