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General NPI Number Information
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NPI Number | 1083689574
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Entity Type | Organization
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Legal Business Name | RADIOLOGY ASSOCIATES
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 651 DUNLOP LN
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City | CLARKSVILLE
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State | TN
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Zip | 37040-5015
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Country | US
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Telephone | 931-502-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3098
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City | CLARKSVILLE
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State | TN
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Zip | 37043-3098
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Country | US
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Telephone | 931-647-5034
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Fax | 931-552-6663
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOUG U HONG
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Credential | MD
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Telephone | 931-647-5034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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