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General NPI Number Information
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NPI Number | 1982819827
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Entity Type | Organization
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Legal Business Name | OPEN MRI OF MORRISTOWN
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 95 MADISON AVE STE B04
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7328
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Country | US
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Telephone | 973-539-3373
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Fax |
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Provider Business Mailing Address
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Address Line | 130 SPEEDWELL AVE
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-2315
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Country | US
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Telephone | 973-539-3373
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Fax |
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | MR. ROBERT M CLYMER
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Credential |
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Telephone | 973-539-3373
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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 | 23095
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License Number State | NJ
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