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General NPI Number Information
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NPI Number | 1851522346
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Entity Type | Organization
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Legal Business Name | CENTRAL NEW JERSEY IMAGING INC
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 07/31/2009
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Provider Practice Location Address
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Address Line | 51 VERONICA AVE SUITE 2
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City | SOMERSET
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State | NJ
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Zip | 08873-3448
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Country | US
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Telephone | 732-296-7305
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Fax | 732-296-7309
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Provider Business Mailing Address
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Address Line | 201 8TH ST S STE 207
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City | NAPLES
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State | FL
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Zip | 34102-6141
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Country | US
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Telephone | 239-659-3251
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MR. SEAN HUSSEY
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Credential |
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Telephone | 239-659-3251
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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 | 24217
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License Number State | NJ
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