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General NPI Number Information
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NPI Number | 1033162565
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Entity Type | Organization
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Legal Business Name | HAGERSTOWN IMAGING LLC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 11236 ROBINWOOD DR SUITE 106
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6708
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Country | US
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Telephone | 301-797-4092
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Fax | 301-797-4093
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Provider Business Mailing Address
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Address Line | 11236 ROBINWOOD DR SUITE 106
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6708
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Country | US
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Telephone | 301-797-4092
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Fax | 301-797-4093
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NARESH C GUPTA
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Credential | MD
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Telephone | 301-797-4092
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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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