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General NPI Number Information
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NPI Number | 1700884954
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Entity Type | Organization
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Legal Business Name | SAINT BARNABAS OUTPATIENT CENTERS
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 S ORANGE AVE
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5817
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Country | US
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Telephone | 973-322-7850
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Fax | 973-322-7594
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Provider Business Mailing Address
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Address Line | 1050 GALLOPING HILL RD
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City | UNION
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State | NJ
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Zip | 07083-7983
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Country | US
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Telephone | 908-206-2230
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Fax | 908-206-2237
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | THOMAS J. GIBNEY
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Credential |
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Telephone | 973-322-7286
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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 | 22223
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License Number State | NJ
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