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General NPI Number Information
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NPI Number | 1063521508
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Entity Type | Organization
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Legal Business Name | SPECTRUM IMAGING LLC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6016 PARK BLVD
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City | PINELLAS PARK
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State | FL
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Zip | 33781-3228
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Country | US
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Telephone | 727-548-4000
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Fax | 727-362-3000
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Provider Business Mailing Address
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Address Line | 6016 PARK BLVD
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City | PINELLAS PARK
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State | FL
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Zip | 33781-3228
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Country | US
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Telephone | 727-548-4000
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Fax | 727-362-3000
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT ACCOUNTS
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Name | MS. JODI GALBATO
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Credential |
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Telephone | 954-577-5836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | HCC6317
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License Number State | FL
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