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General NPI Number Information
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NPI Number | 1760547343
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Entity Type | Organization
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Legal Business Name | SAINT CLARE'S NORTHWEST IMAGING NETWORK LLC
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3219 US HIGHWAY 46
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City | PARSIPPANY
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State | NJ
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Zip | 07054-1274
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Country | US
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Telephone | 973-402-9111
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Fax | 972-402-7620
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Provider Business Mailing Address
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Address Line | 3219 RT. 46 EAST
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City | PARSIPPANY
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State | NJ
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Zip | 07054-1274
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESDIENT
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Name | DR. JEFFREY WEXLER
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Credential | MD
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Telephone | 973-625-6659
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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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