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General NPI Number Information
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NPI Number | 1619185758
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Entity Type | Organization
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Legal Business Name | DIGESTIVE ASSOCIATES
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 511 COURTYARD DR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4255
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Country | US
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Telephone | 908-218-1616
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Fax | 908-218-5041
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Provider Business Mailing Address
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Address Line | 511 COURTYARD DR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4255
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. CHRISTINE ROSS
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Credential | CPC
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Telephone | 908-218-1616
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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 |
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License Number State |
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