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General NPI Number Information
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NPI Number | 1962499772
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Entity Type | Organization
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Legal Business Name | MAGNETIC IMAGING OF MORRIS P.A.
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 11/22/2011
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Provider Practice Location Address
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Address Line | 420 BLVD SUITE 103
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City | MTN LAKES
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State | NJ
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Zip | 07046
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Country | US
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Telephone | 973-402-9111
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Fax | 973-402-7620
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Provider Business Mailing Address
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Address Line | 420 BLVD SUITE 103
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City | MTN LAKES
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State | NJ
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Zip | 07046
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Country | US
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Telephone | 973-402-9111
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Fax | 973-402-7620
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Authorized Official
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Title or Position | MANAGER
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Name | JEFFREY DUNN
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Credential |
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Telephone | 973-402-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | 23244
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 23244
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License Number State | NJ
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