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General NPI Number Information
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NPI Number | 1629327887
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Entity Type | Organization
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Legal Business Name | THE NEW JERSEY IMAGING NETWORK, LLC
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Dates
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Enumeration Date | 09/04/2012
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 197 RIDGEDALE AVE
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City | CEDAR KNOLLS
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State | NJ
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Zip | 07927-2111
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Country | US
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Telephone | 973-322-4131
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Fax |
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Provider Business Mailing Address
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Address Line | 95 OLD SHORT HILLS RD
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City | WEST ORANGE
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State | NJ
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Zip | 07052-1008
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Country | US
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Telephone | 973-322-4131
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOWARD BERGER
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Credential |
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Telephone | 585-218-8008
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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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