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General NPI Number Information
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NPI Number | 1831481167
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Entity Type | Organization
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Legal Business Name | DRA IMAGING, PC
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 05/04/2011
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Provider Practice Location Address
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Address Line | 1351 ROUTE 55 FIRST FLOOR
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City | LAGRANGEVILLE
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State | NY
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Zip | 12540-5118
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Country | US
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Telephone | 845-454-4700
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Fax | 845-790-5719
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Provider Business Mailing Address
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Address Line | 169 MYERS CORNERS RD STE 250
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-3868
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Country | US
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Telephone | 845-454-4700
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Fax | 845-790-5719
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Authorized Official
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Title or Position | CEO
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Name | RICHARD J FRIEDLAND
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Credential | MD
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Telephone | 845-454-4700
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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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