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General NPI Number Information
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NPI Number | 1043455728
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Entity Type | Organization
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Legal Business Name | RCOA IMAGING SERVICES, INC.
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 750 N 18TH ST
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City | ABILENE
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State | TX
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Zip | 79601-3018
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Country | US
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Telephone | 561-477-3500
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Fax | 561-477-0999
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Provider Business Mailing Address
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Address Line | 7900 GLADES RD SUITE 400
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City | BOCA RATON
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State | FL
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Zip | 33434-4167
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Country | US
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Telephone | 561-477-3500
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Fax | 561-477-0999
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Authorized Official
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Title or Position | CHAIRMAN AND CEO
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Name | ALLEN MCGEE
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Credential |
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Telephone | 561-477-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | LO5329
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License Number State | TX
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