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General NPI Number Information
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NPI Number | 1013038520
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Entity Type | Organization
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Legal Business Name | VANGUARD IMAGING PARTNERS, LLC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 05/06/2009
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Provider Practice Location Address
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Address Line | 6251 GOOD SAMARITAN WAY SUITE 140
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-5254
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Country | US
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Telephone | 937-236-4780
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 635500
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City | CINCINNATI
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State | OH
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Zip | 45263-0001
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Country | US
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Telephone | 937-236-4780
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Fax | 937-236-4855
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Authorized Official
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Title or Position | CONTROLLER AND TREASURER
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Name | MRS. SCOTT A BUCHANAN
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Credential |
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Telephone | 937-208-9679
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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 | 1284IC
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License Number State | OH
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Taxonomy #2
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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 | 1284IC
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License Number State | OH
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