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General NPI Number Information
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NPI Number | 1023236171
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Entity Type | Organization
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Legal Business Name | IMAGING FOR WOMEN LLC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 630 NW ENGLEWOOD RD
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City | KANSAS CITY
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State | MO
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Zip | 64118-3973
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Country | US
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Telephone | 816-453-2700
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Fax | 816-453-9943
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Provider Business Mailing Address
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Address Line | 630 NW ENGLEWOOD RD
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City | KANSAS CITY
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State | MO
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Zip | 64118-3973
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Country | US
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Telephone | 816-453-2700
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Fax | 816-453-9943
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ASHLEY BLACKETER
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Credential |
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Telephone | 816-268-3305
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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 | 36717
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License Number State | MO
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