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General NPI Number Information
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NPI Number | 1023232907
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Entity Type | Organization
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Legal Business Name | AMERICAN RADIOLOGY SERVICES
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/28/2007
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Provider Practice Location Address
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Address Line | 9500 BONITA BEACH RD SE STE 211
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4698
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Country | US
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Telephone | 239-430-4674
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Fax | 239-659-6530
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Provider Business Mailing Address
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Address Line | 2338 IMMOKALEE RD STE116
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City | NAPLES
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State | FL
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Zip | 34110-1445
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Country | US
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Telephone | 239-430-4674
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Fax | 239-659-6530
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK MARZANO
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Credential | M.D.
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Telephone | 239-430-4674
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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 | ME81325
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License Number State | FL
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