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General NPI Number Information
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NPI Number | 1033340518
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Entity Type | Organization
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Legal Business Name | HEALTHCARE IMAGING OF KENDALL LLC
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Dates
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Enumeration Date | 08/02/2009
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Last Update Date | 08/02/2009
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Provider Practice Location Address
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Address Line | 11410 N KENDALL DR SUITE 101
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City | MIAMI
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State | FL
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Zip | 33176-1031
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Country | US
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Telephone | 786-319-3048
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Fax | 305-971-0822
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Provider Business Mailing Address
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Address Line | 11410 N KENDALL DR SUITE 101
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City | MIAMI
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State | FL
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Zip | 33176-1031
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Country | US
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Telephone | 786-319-3048
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Fax | 305-971-0822
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | ANITA GONZALEZ
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Credential |
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Telephone | 786-319-3048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | HCC8482
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License Number State | FL
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