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General NPI Number Information
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NPI Number | 1659484467
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Entity Type | Organization
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Legal Business Name | AN OPEN MRI IMAGING OF NEWARK, LLC
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 12/22/2010
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Provider Practice Location Address
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Address Line | 243 CHESTNUT ST.
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City | NEWARK
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State | NJ
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Zip | 07105-6501
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Country | US
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Telephone | 732-205-1777
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Fax | 201-564-7305
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Provider Business Mailing Address
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Address Line | PO BOX 112
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City | CLOSTER
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State | NJ
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Zip | 07624-0112
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Country | US
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Telephone | 732-205-1777
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Fax | 201-564-7305
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. HOWARD KESSLER
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Credential | M.D.
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Telephone | 908-687-6054
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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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