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General NPI Number Information
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NPI Number | 1003866583
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Entity Type | Organization
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Legal Business Name | RADIOLOGY GROUP LLC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 3475 PIEDMONT RD NE STE 1150
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City | ATLANTA
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State | GA
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Zip | 30305-3003
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Country | US
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Telephone | 49-469-6304
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Fax | 404-506-8491
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Provider Business Mailing Address
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Address Line | 3340 PEACHTREE RD NE SUITE 2025
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City | ATLANTA
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State | GA
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Zip | 30326-1000
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Country | US
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Telephone | 404-946-9633
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Fax | 404-946-2868
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Authorized Official
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Title or Position | CEO
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Name | DR. ANAND PANKAJ LALAJI
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Credential | MD
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Telephone | 404-946-9633
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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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