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General NPI Number Information
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NPI Number | 1023016532
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Entity Type | Organization
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Legal Business Name | ADVANCED IMAGING ASSOCIATES PSC
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 03/15/2012
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Provider Practice Location Address
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Address Line | 625 JAMES TRIMBLE BLVD
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City | PAINTSVILLE
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State | KY
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Zip | 41240-1055
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Country | US
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Telephone | 606-789-3511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 633638
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City | CINCINNATI
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State | OH
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Zip | 45263-3638
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Country | US
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Telephone | 866-287-0542
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLLEN BOND
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Credential | MD
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Telephone | 606-789-3511
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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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