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General NPI Number Information
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NPI Number | 1669506176
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Entity Type | Organization
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Legal Business Name | HACKETTSTOWN OPEN MRI
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 653 WILLOW GROVE ST SUITE 1600
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840-1732
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Country | US
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Telephone | 908-850-3100
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Fax | 908-850-5059
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Provider Business Mailing Address
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Address Line | 653 WILLOW GROVE ST SUITE 1600
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840-1732
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Country | US
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Telephone | 908-850-3100
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Fax | 908-850-5059
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. KIM O'BRIEN
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Credential |
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Telephone | 201-652-1213
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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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