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General NPI Number Information
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NPI Number | 1578697421
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Entity Type | Organization
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Legal Business Name | ATRIUM DIAGNOSTIC IMAGING LLC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 06/25/2018
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Provider Practice Location Address
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Address Line | 224 TAYLORS MILLS ROAD SUITE 108
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City | MANALAPAN
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State | NJ
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Zip | 07726
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Country | US
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Telephone | 732-431-7600
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Fax | 732-431-1606
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Provider Business Mailing Address
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Address Line | 224 TAYLORS MILLS ROAD SUITE 108
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City | MANALAPAN
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State | NJ
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Zip | 07726-3281
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Country | US
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Telephone | 732-431-7600
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Fax | 732-431-1606
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Authorized Official
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Title or Position | CHIEF EXECUTIVE
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Name | MRS. PAULETTE CLAY
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Credential |
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Telephone | 732-431-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 23176
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License Number State | NJ
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