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General NPI Number Information
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NPI Number | 1043412117
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Entity Type | Organization
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Legal Business Name | OSTEOPOROSIS IMAGING CENTERS
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 4420 W OAKLAND PARK BLVD
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-1819
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Country | US
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Telephone | 954-733-2663
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Fax | 954-733-5283
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Provider Business Mailing Address
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Address Line | 4420 W OAKLAND PARK BLVD
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-1819
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Country | US
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Telephone | 954-733-2663
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Fax | 954-733-5283
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Authorized Official
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Title or Position | MANAGER
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Name | ROBERT LEEDS
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Credential |
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Telephone | 954-733-2663
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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 | FL
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