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General NPI Number Information
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NPI Number | 1063007219
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Entity Type | Organization
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Legal Business Name | ORCHARD IMAGING, LLC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 19 KEEWAYDIN DR STE 2
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City | SALEM
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State | NH
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Zip | 03079-4891
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Country | US
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Telephone | 603-685-4781
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Fax | 603-458-1426
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Provider Business Mailing Address
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Address Line | 19 KEEWAYDIN DR STE 2
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City | SALEM
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State | NH
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Zip | 03079-4891
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Country | US
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Telephone | 603-685-4781
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Fax | 603-458-1426
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MS. TARA JENKINS
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Credential | R.T.
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Telephone | 603-685-4781
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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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