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General NPI Number Information
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NPI Number | 1083724991
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Entity Type | Organization
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Legal Business Name | I.M.S. IMAGING MEDICAL SOLUTIONS INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 629 W 185ST
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City | NEW YORK
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State | NY
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Zip | 10033-2412
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Country | US
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Telephone | 212-781-1900
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Fax | 212-781-7359
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Provider Business Mailing Address
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Address Line | PO BOX 763
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City | NEW YORK
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State | NY
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Zip | 10033-0594
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Country | US
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Telephone | 212-781-1900
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Fax | 212-781-7359
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Authorized Official
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Title or Position | PRESIDENT
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Name | LENIN A FERMIN
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Credential |
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Telephone | 212-781-1900
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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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