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General NPI Number Information
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NPI Number | 1083165898
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Entity Type | Organization
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Legal Business Name | D&E CENTER,LLC
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 2503 FLAGLER AVE
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City | KEY WEST
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State | FL
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Zip | 33040-3934
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Country | US
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Telephone | 305-304-8109
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Fax |
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Provider Business Mailing Address
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Address Line | 2503 FLAGLER AVE
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City | KEY WEST
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State | FL
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Zip | 33040-3934
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Country | US
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Telephone | 305-304-8109
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CLARA NADINE RICHARDSON
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Credential |
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Telephone | 305-304-8109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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