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General NPI Number Information
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NPI Number | 1710905682
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Entity Type | Organization
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Legal Business Name | FREEHOLD RADIOLOGY GROUP
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/11/2014
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Provider Practice Location Address
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Address Line | 901 W MAIN ST MEDICAL ARTS BUILDING
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City | FREEHOLD
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State | NJ
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Zip | 07728-2537
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Country | US
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Telephone | 732-462-3302
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 W MAIN ST
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City | FREEHOLD
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State | NJ
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Zip | 07728-2579
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Country | US
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Telephone | 732-462-3302
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Fax | 732-780-6213
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Authorized Official
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Title or Position | PRESIDENT
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Name | BARRY FRIEDENBERG
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Credential | M.D.
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Telephone | 732-462-3302
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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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