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General NPI Number Information
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NPI Number | 1013323799
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Entity Type | Organization
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Legal Business Name | CHESAPEAKE RADIOLOGY OF BEL AIR
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 2108 EMMORTON RD SUITE 8
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City | BEL AIR
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State | MD
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Zip | 21015-6800
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Country | US
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Telephone | 410-420-9800
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Fax | 410-420-9975
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Provider Business Mailing Address
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Address Line | 2108 EMMORTON RD SUITE 8
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City | BEL AIR
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State | MD
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Zip | 21015-6800
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Country | US
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Telephone | 410-420-9800
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Fax | 410-420-9975
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Authorized Official
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Title or Position | CEO
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Name | MR. PHILIP L ADZIMA
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Credential |
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Telephone | 410-420-9800
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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 |
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License Number State |
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