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General NPI Number Information
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NPI Number | 1053386219
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Entity Type | Organization
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Legal Business Name | OUTPATIENT IMAGING, LLC
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 10 EASTBROOK BND
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-1545
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Country | US
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Telephone | 770-301-4674
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Fax | 770-305-4682
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Provider Business Mailing Address
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Address Line | P.O. BOX 639218
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City | CINCINNATI
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State | OH
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Zip | 45263-9218
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Country | US
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Telephone | 770-305-4674
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Fax | 770-305-4682
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HO NIEN LIN
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Credential | M.D.
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Telephone | 770-305-4674
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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 |
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License Number State |
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